TIFT REGIONAL HEALTH SYSTEM INC
NPI 1346044591
Otolaryngology in Tifton, GA

Q: What is Tift Regional Health System Inc's NPI number?

The NPI number for Tift Regional Health System Inc is 1346044591. It was assigned to this organization in the NPPES registry on April 4, 2025. The provider is doing business as Southwell ENT.

Q: What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since April 04, 2025

39 KENT RD STE 2, TIFTON, GA 31794(229) 353-4368(229) 396-4228 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Tift Regional Health System Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFT REGIONAL HEALTH SYSTEM INC (NPI 1346044591), doing business as Southwell Ent, is a healthcare organization registered as an otolaryngology in Tifton, Georgia and active in the NPI registry since April 2025. The organization lists Christopher Dorman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346044591

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC

Location Address39 KENT RD STE 2Tifton, GA 31794-1697

Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422

Phone(229) 353-4368

Fax(229) 396-4228

Organization SubpartNo

Authorized OfficialChristopher DormanCeo · (229) 353-6121

Enumeration DateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1346044591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

39 KENT RD STE 2, Tifton, GA 31794

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Other Names 1

Doing Business AsSouthwell Ent

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tift Regional Health System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

375

Medicare enrollment records show 375 clinicians reassign Medicare billing to Tift Regional Health System Inc, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 194 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner93

Internal Medicine48

Anesthesiology22

Certified Registered Nurse Anesthetist (CRNA)22

Family Practice21

Obstetrics/Gynecology16

Gastroenterology12

Urology12

34 other specialties129

Nearest to this location (20)

See all 375

Dorothy Agyepong, CPNP

Nurse Practitioner

NPI 1821214909

39 KENT RD STE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Lacey Childree, NP

Nurse Practitioner

NPI 1649161480

39 KENT RD STE 2
Tifton, GA 31794

(229) 353-4368

✔ PECOS✔ Accepts MedicareSame address

Dontre' Douse, MD

Otolaryngology

NPI 1396372694

39 KENT RD STE 2
Tifton, GA 31794

(229) 353-4368

✔ PECOS✔ Accepts MedicareSame address

Kelly Grummer-Smith, NP-C

Nurse Practitioner

NPI 1619310802

39 KENT RD STE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Alisha Holloway, APRN

Nurse Practitioner

NPI 1992230023

39 KENT RD STE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Kasey Mays, NP-C

Nurse Practitioner

NPI 1083288666

39 KENT RD STE 1
Tifton, GA 31794

(229) 391-4310

✔ PECOS✔ Accepts MedicareSame address

Sitarama Arvind Varma Mudunuru, MD

Nephrology

NPI 1952753253

39 KENT RD
Tifton, GA 31794

(404) 960-2817

✔ PECOS✔ Accepts MedicareSame address

Deidre Peacock, NP

Nurse Practitioner

NPI 1982094298

39 KENT RD STE 2
Tifton, GA 31794

(229) 388-9393

✔ PECOS✔ Accepts MedicareSame address

Emily Quinn, D.P.M.

Podiatry

NPI 1497011712

39 KENT RD
Tifton, GA 31794

(229) 382-3338

✔ PECOS✔ Accepts MedicareSame address

Abduljalil Elfasi, MD

Nephrology

NPI 1154685550

39 KENT RD STE 1
Tifton, GA 31794

(229) 391-4310

✔ PECOS✔ Accepts MedicareSame address

Nikkia Johnson, MD

Pediatric Medicine

NPI 1750402731

39 KENT RD STE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Shannon Price, M.D.

Obstetrics/Gynecology

NPI 1891718870

39 KENT ROAD
Tifton, GA 31794

(229) 391-4100

✔ PECOS✔ Accepts MedicareSame address

Flavia Rossi, M.D.

Pediatric Medicine

NPI 1225354525

39 KENT RD SUITE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Brent Savelli, MD

Internal Medicine

NPI 1306878251

39 KENT RD SUITE 1
Tifton, GA 31794

(229) 391-3555

✔ PECOS✔ Accepts MedicareSame address

Nicholas Webster, M.D.

Pediatric Medicine

NPI 1619322328

39 KENT RD STE 5
Tifton, GA 31794

(229) 353-7337

✔ PECOSSame address

Robert Anderson, M.D.

Urology

NPI 1437119583

1815 OLD OCILLA RD
Tifton, GA 31794

(229) 391-3535

✔ PECOS✔ Accepts Medicare0.4 mi

Donald Menya, M.D.

Obstetrics/Gynecology

NPI 1194068601

1948 OLD OCILLA RD
Tifton, GA 31794

(229) 391-3500

✔ PECOS✔ Accepts Medicare0.4 mi

Christopher Pate, FNP

Nurse Practitioner

NPI 1740736263

1815 OLD OCILLA RD
Tifton, GA 31794

(229) 391-3535

✔ PECOS✔ Accepts Medicare0.4 mi

William Davis, MD

General Surgery

NPI 1497722193

1007 GREENFIELD DR
Tifton, GA 31794

(229) 382-9733

✔ PECOS✔ Accepts Medicare0.4 mi

Jerri Aultman, RD

Registered Dietitian or Nutrition Professional

NPI 1982908281

1007 GREENFIELD DR
Tifton, GA 31794

(229) 382-9733

✔ Accepts Medicare0.4 mi

See all 375 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tift Regional Health System Inc's NPI number?

The NPI number for Tift Regional Health System Inc is 1346044591. It was assigned to this organization in the NPPES registry on April 4, 2025. The provider is doing business as Southwell ENT.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 39 Kent Rd Ste 2, Tifton, GA 31794. The listed phone number is (229) 353-4368.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tift Regional Health System Inc enrolled in Medicare?

Yes. Tift Regional Health System Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tift Regional Health System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 375 clinicians in 42 Medicare specialties reassign their Medicare billing to Tift Regional Health System Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (93), Internal Medicine (48) and Anesthesiology (22). Of these, 15 practice at this address and 194 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tift Regional Health System Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.