Tift Regional Health System INC
Pediatrics in Tifton, GA. Organization (NPI-2).
NPI number1366765166
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1366765166
- Entity type
- Organization (NPI-2)
- Legal business name
- Tift Regional Health System INC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2010
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | GA | Yes |
| 207R00000X | Internal Medicine | – | GA | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | GA | |
| 207Q00000X | Family Medicine | – | GA |
Other names
- Affinity Clinic (Doing Business As)
Practice location
39 Kent Rd Ste 5Tifton, GA 31794-1697
Phone 229-353-7337 · Fax 229-391-4051
Mailing address
Po Box 2650Tifton, GA 31793-2650
Phone 229-353-3422
Other practice locations
104 8th St W Unit A
Tifton, GA 31794-3985
Tifton, GA 31794-3985
Phone 229-391-4426 · Fax 229-391-4304
2227 Us Highway 41 N
Tifton, GA 31794-2749
Tifton, GA 31794-2749
Phone 229-391-4110 · Fax 229-391-4460
1493 Kennedy Rd Ste A
Tifton, GA 31794-4178
Tifton, GA 31794-4178
Phone 229-391-4130 · Fax 229-391-4138
Authorized official
Christopher Dorman
President/Ceo
2293536104
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Other Pediatrics Physician providers in Tifton, GA
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- Priscilla Amoah, MDNPI 1932556453
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- Faustine Ceasor, M.D.NPI 1578256541
- Nandlal Chainani, M.D.NPI 1952482135
- Timothy L Clark, DONPI 1205576931
- Albert D Copeland, M.D.NPI 1912906199
- Dixie Dawn Griffin, MDNPI 1801015367
- Nikkia F. Johnson, MDNPI 1750402731
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All 24 Pediatrics Physician providers in Tifton · All 1,003 providers in Tifton
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