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

Tift Regional Health System Inc

Organization Pediatrics Physician · NPI 1700721529

Tift Regional Health System Inc provides Pediatrics Physician services in Ocilla, Georgia. Registered with an NPI since 2026.

In the registry since
2026
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

501 N Irwin Ave Ste A
Ocilla, GA 31774-5007
Phone: (229) 468-7323
Fax: (229) 468-7320
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1700721529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Dorman — President/Ceo · (229) 353-6121
Other names Southwell Pediatrics Ocilla
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Other providers in Ocilla