Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tift Regional Health System Inc

Organization Nephrology Physician · NPI 1053933754

Tift Regional Health System Inc provides Nephrology Physician services in Tifton, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39 Kent Rd Ste 1
Tifton, GA 31794-1697
Phone: (229) 391-4310
Fax: (229) 391-4243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1053933754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Dorman — President/Ceo · (229) 353-6104
Other names Southwell Nephrology; Southwell Nephrology
NPI enumeratedMay 15, 2020
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Other providers in Tifton