1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Internal Medicine
  6. NPI Profile

TIFT REGIONAL HEALTH SYSTEM INC
NPI 1790675627
Internal Medicine - Cardiovascular Disease in Tifton, GA

Active since July 03, 2025
1499 KENNEDY RD STE C, TIFTON, GA 31794(229) 238-3034(229) 238-3027 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2026, Jul 3, 2025 (2 updates tracked since 2025).

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 1790675627), doing business as Southwell Cardiology, is a healthcare organization registered as a cardiovascular disease in Tifton, Georgia and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Tifton and lists Christopher Dorman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790675627
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address1499 KENNEDY RD STE CTifton, GA 31794-4177
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3422
Phone(229) 238-3034
Fax(229) 238-3027
Organization SubpartNo
Authorized OfficialChristopher DormanCeo · (229) 353-6121
Enumeration DateJuly 3, 2025
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1790675627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1499 KENNEDY RD STE C, Tifton, GA 31794
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwell Cardiology

Secondary Practice Location 1

Location 1907 18th St E Ste 100Tifton, GA 31794-3600 · Phone (229) 391-9980 · Fax (229) 391-9984

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, 2 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
Jonathan Tronolone, MD
Cardiovascular Disease (Cardiology)
NPI 1376626432
1499 KENNEDY RD STE C
Tifton, GA 31794
(229) 238-3034
✔ PECOS✔ Accepts MedicareSame address
Callie Haynes, FNP-BC
Nurse Practitioner
NPI 1003527714
1622 MADISON AVE
Tifton, GA 31794
(229) 387-8061
✔ PECOS✔ Accepts MedicareSame address
Alison Fitzgerald, MSN, CNM
Certified Nurse Midwife (CNM)
NPI 1568991750
1493 KENNEDY RD STE A
Tifton, GA 31794
(229) 391-4130
✔ PECOS0.1 mi
Ana Margarita Hernandez Silen, MD
Obstetrics/Gynecology
NPI 1871752907
1493 KENNEDY RD STE A
Tifton, GA 31794
(229) 391-4130
✔ PECOS✔ Accepts Medicare0.1 mi
Marlee Morris, NP
Nurse Practitioner
NPI 1700508272
1493 KENNEDY RD STE A
Tifton, GA 31794
(229) 391-4130
✔ PECOS✔ Accepts Medicare0.1 mi
Apurva Shah, M.D.
Hematology/Oncology
NPI 1174694137
1623 MADISON AVE
Tifton, GA 31794
(229) 353-7720
✔ PECOS✔ Accepts Medicare0.1 mi
Wesley Walker, M.D.
Radiation Oncology
NPI 1134291727
1623 MADISON AVE
Tifton, GA 31794
(229) 386-1300
✔ PECOS✔ Accepts Medicare0.1 mi
Timothy Fuller, MD
Vascular Surgery
NPI 1104153063
1641 MADISON AVE
Tifton, GA 31794
(229) 353-2284
✔ PECOS✔ Accepts Medicare0.1 mi
Nora Fine, MD
Anesthesiology
NPI 1619996782
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts Medicare0.1 mi
Ngozi Okanu, MD
Internal Medicine
NPI 1376049072
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts Medicare0.1 mi
Norris Burton, M.D.
Family Practice
NPI 1578558805
907 18TH ST E SUITE 140
Tifton, GA 31794
(229) 353-4325
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Spikes, M.D.
Plastic and Reconstructive Surgery
NPI 1821128778
907 18TH ST E STE 340
Tifton, GA 31794
(229) 391-3600
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Cartwright, MD
General Surgery
NPI 1932306149
1007 GREENFIELD DR
Tifton, GA 31794
(229) 382-9733
✔ PECOS✔ Accepts Medicare0.2 mi
Jerri Aultman, RD
Registered Dietitian or Nutrition Professional
NPI 1982908281
1007 GREENFIELD DR
Tifton, GA 31794
(229) 382-9733
✔ Accepts Medicare0.2 mi
Omar Al-Rusan, MD
Pathology
NPI 1205409398
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS0.2 mi
Alonso Arcadia-Reynoso, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992698997
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts Medicare0.2 mi
Yash Nandola, M.D.
Sleep Medicine
NPI 1154942183
901 18TH ST E
Tifton, GA 31794
(229) 353-7425
✔ PECOS✔ Accepts Medicare0.2 mi
David Schaffer, MD
Emergency Medicine
NPI 1063687382
901 18TH ST E
Tifton, GA 31794
(229) 353-6185
✔ PECOS✔ Accepts Medicare0.2 mi
Ruchi Yadav
Medical Oncology
NPI 1659905644
901 18TH ST E
Tifton, GA 31794
(229) 353-7720
✔ PECOS✔ Accepts Medicare0.2 mi
Bret Wagenhorst, M.D.
Ophthalmology
NPI 1841201134
1803 OLD OCILLA RD
Tifton, GA 31794
(229) 386-2181
✔ PECOS✔ Accepts Medicare0.2 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 1790675627. It was assigned to this organization in the NPPES registry on July 3, 2025. The provider is doing business as Southwell Cardiology.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 1499 Kennedy Rd Ste C, Tifton, GA 31794. The listed phone number is (229) 238-3034.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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, 2 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 August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.