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SOUTHWELL MOBILE CLINIC
NPI 1881203305
Family Medicine in Tifton, GA

Active since July 30, 2020
901 18TH ST E, TIFTON, GA 31794(229) 382-7120 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2021, Jun 8, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Southwell Mobile Clinic NPPES

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

SOUTHWELL MOBILE CLINIC (NPI 1881203305) is a healthcare organization registered as a family medicine in Tifton, Georgia and active in the NPI registry since July 2020. The organization lists Kim Wills, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881203305
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIFT REGIONAL HEALTH SYSTEM INC
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address901 18th St ETifton, GA 31794-3648 · (229) 382-7120
Phone(229) 382-7120
Organization SubpartNo
Authorized OfficialKim WillsSvp, Cfo · (229) 353-3397
Enumeration DateJuly 30, 2020
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1881203305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 18TH ST E, Tifton, GA 31794
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Other Names 1

Doing Business AsSouthwell Mobile Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 Mobile Clinic 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 Southwell Mobile Clinic, which bills Medicare for the services they deliver. Of these, 22 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
Logan Balkcom
Anesthesiology Assistant
NPI 1891457768
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts MedicareSame address
Jessica Beier, M.D.
Pathology
NPI 1366437444
901 18TH ST E
Tifton, GA 31794
(229) 392-1153
✔ PECOS✔ Accepts MedicareSame address
Penny Booth, CFNP
Nurse Practitioner
NPI 1710078423
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Clinton Brown, AA
Anesthesiology Assistant
NPI 1528138997
901 18TH ST E
Tifton, GA 31794
(229) 353-6208
✔ Accepts MedicareSame address
Manuel Chavez, CAA
Anesthesiology Assistant
NPI 1619690344
901 18TH ST E
Tifton, GA 31794
(229) 353-7050
✔ Accepts MedicareSame address
Anna Driggers, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154788446
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts MedicareSame address
Justin Giddens, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558992479
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ Accepts MedicareSame address
Carlyle Harper, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356412720
901 18TH ST E
Tifton, GA 31794
(229) 353-6208
✔ Accepts MedicareSame address
Robert Jeter, MD
Family Practice
NPI 1366929598
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
James Macdonald, M.D.
Pathology
NPI 1639164296
901 18TH ST E
Tifton, GA 31794
(229) 353-7535
✔ PECOS✔ Accepts MedicareSame address
Hali Mallard, NP
Nurse Practitioner
NPI 1053990788
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
Andrew Nackashi, DO
General Surgery
NPI 1821449059
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Jessica Parrish, N.P.
Nurse Practitioner
NPI 1164886545
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Cynthia Phillips, D.O.
Internal Medicine
NPI 1972539708
901 18TH ST E
Tifton, GA 31794
(229) 353-6051
✔ PECOS✔ Accepts MedicareSame address
Allison Presley, NP
Nurse Practitioner
NPI 1134561574
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
Abeeku Ricks, M.D.
Internal Medicine
NPI 1205368222
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Catherine Ross, MD
Pathology
NPI 1205298346
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS✔ Accepts MedicareSame address
Craig Smith, MD
Internal Medicine
NPI 1194754697
901 18TH ST E
Tifton, GA 31794
(229) 353-6051
✔ PECOS✔ Accepts MedicareSame address
Rodney Tyson, M.D.
Family Practice
NPI 1962598458
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOSSame address
William Hancock, M.D.
Cardiovascular Disease (Cardiology)
NPI 1265423339
907 E 18TH STREET STE 100
Tifton, GA 31794
(229) 391-9980
✔ PECOS✔ Accepts MedicareSame address
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 1881203305. It was assigned to this organization in the NPPES registry on July 30, 2020. The provider is doing business as Southwell Mobile Clinic.

Where is Tift Regional Health System Inc located?

Tift Regional Health System Inc is located at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.

What is Tift Regional Health System Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 22 practice at this address and 194 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.