NPI age
1 years
Enumerated 2025-04-04
● Active Type 2 · Organization
Tift Regional Health System Inc
Tift Regional Health System Inc is 1 of 450 otolaryngology organizations in Georgia.
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dorman
Ceo
Last NPPES update
2025-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 450 active otolaryngology providers in Georgia.
NPI age
1 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-04Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
39 Kent Rd Ste 2
Tifton, GA 317941697
Mailing address
Po Box 2650
Tifton, GA 317932650
Authorized official
Christopher Dorman
Ceo
📞 2293536121
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Lacey Childree, NP Nurse Practitioner NPI 1649161480
- Dontre Douse, MD Otolaryngology NPI 1396372694
- Deidre Peacock, NP Nurse Practitioner NPI 1982094298
- Kathleen Richardson, MD Family Medicine NPI 1275979361
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southwell ENT
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.