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

Active since April 04, 2025CLIA Certified · 8 labs
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: August 09, 2026.

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 holds 8 active CLIA laboratory certificates and 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

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0975985

Tift Regional Health System, Inc Dba Southwell Medical Nashville Primary Care · Nashville, GA
Active · expires Jul 20, 2028
CLIA Number11D0975985
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDr. Richard E. Wheeler
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Medical Nashville Primary Care416 A East Mcpherson Avenue, Nashville, GA 31639
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2080698

Tift Regional Health System, Inc Dba Employee Medical Home · Tifton, GA
Active · expires Jul 13, 2028
CLIA Number11D2080698
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorCameron D. Nixon
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Employee Medical Home907 18th Street E, Suite 260, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D0988576

Tift Regional Health System, Inc Affinity Clinic Blood Gas Lab · Tifton, GA
Active · expires Dec 13, 2027
CLIA Number11D0988576
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorDr. Rubal Patel
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Affinity Clinic Blood Gas Lab2225 Us Highway 41 N, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D0933924

Tift Regional Health System, Inc Dba Southwell Health And Rehabilitation · Adel, GA
Active · expires Sep 24, 2027
CLIA Number11D0933924
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorVicent Valencia
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Health And Rehabilitation260 Mj Taylor Road, Adel, GA 31620
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2029429

Tift Regional Health System, Inc Dba Worksmart · Tifton, GA
Active · expires Sep 7, 2027
CLIA Number11D2029429
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorLangston B. Cleveland
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Worksmart4468 Union Road, Tifton, GA 31794
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0930682

Tift Regional Health System, Inc Dba Southwell Medical Sylvester Primary Care · Sylvester, GA
Active · expires May 17, 2027
CLIA Number11D0930682
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDoris L. Wilder
Laboratory Phone(229) 353-6121
Laboratory LocationTift Regional Health System, Inc Dba Southwell Medical Sylvester Primary Care1010 West Franklin Street, Sylvester, GA 31791
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN RICHARDSON MD
Family Medicine
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 388-9393
DONTRE M DOUSE MD
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
LACEY HESTER CHILDREE NP
Nurse Practitioner (Family)
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
MRS. DEIDRE CELESTE PEACOCK NP
Nurse Practitioner
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 388-9393

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.

Does Tift Regional Health System Inc hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 16 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.