NPI age
19 years
Enumerated 2006-12-27
● Active Type 2 · Organization
Subpart
Southwell Pharmacy
Southwell Pharmacy is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dorman
Ceo
Last NPPES update
2025-08-13
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1802 Lee Avenue
Tifton, GA 31794
Mailing address
1802 Lee Avenue
Tifton, GA 31794
Authorized official
Christopher Keith Dorman
Ceo
📞 2293827120
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PHRE010721 | LICENSE |
| 01 | 1117539 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tift Regional Employee Pharmacy
-
Tift Regional Employee Pharmacy
-
Tift Regional Employee Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Subpart of Tift Regional Health System, Inc..
Provyx · Custom healthcare lists
Need all 1965 Pharmacy providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.