SOUTHWELL SCHOOL CLINIC
NPI 1508428442
Nurse Practitioner - School in Tifton, GA
About Southwell School Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWELL SCHOOL CLINIC (NPI 1508428442) is a healthcare organization registered as a school in Tifton, Georgia and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through July 15, 2027, maintains a secondary practice location in Tifton, and lists Christopher Dorman, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwell School Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
375Medicare enrollment records show 375 clinicians reassign Medicare billing to Southwell School Clinic, which bills Medicare for the services they deliver. Of these, 194 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 375Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 11D2169076
Southwell School Clinic · Tifton, GAFrequently 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 1508428442. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as Southwell School Clinic.
Where is Tift Regional Health System Inc located?
Tift Regional Health System Inc is located at 1464 Carpenter Road S, Tifton, GA 31793. The listed phone number is (229) 353-2227.
What is Tift Regional Health System Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.
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, 194 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tift Regional Health System Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2169076) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tift Regional Health System Inc accept?
Health plans from Alliant Health Plans, Inc. list Tift Regional Health System Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tift Regional Health System Inc was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Southwell School Clinic · NPI 1508428442
School organization in Tifton, Georgia. Organization record, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1508428442 (Entity type: Organization)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Nurse Practitioner - School · taxonomy 363LS0200X
- **Legal business name:** Tift Regional Health System Inc
- **Organization subpart:** No
- **Authorized official:** Christopher Dorman, PRESIDENT/CEO
## Practice location
- **Address:** 1464 CARPENTER ROAD S, Tifton, GA 31793
- **Phone:** (229) 353-2227 · **Fax:** (229) 388-9515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 375 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (93), Internal Medicine (48), Anesthesiology (22); 194 practice within 10 miles; [full list](https://npiprofile.com/npi/1508428442/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508428442) · Data from the CMS NPPES public registry.