NPI age
4 years
Enumerated 2022-04-28
● Active Type 2 · Organization
Tift Regional Health System Inc.
Tift Regional Health System Inc. is 1 of 526 eyewear supplier organizations in Georgia.
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dorman
President/ceo
Last NPPES update
2022-06-24
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1803 Old Ocilla Rd
Tifton, GA 317941617
Mailing address
Po Box 2650
Tifton, GA 317932650
Authorized official
Christopher Dorman
President/ceo
📞 2293536104
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Robert Holme, M.D. Ophthalmology NPI 1336150648
- Kenneth Shealy, O.D. Optometrist NPI 1104436922
- Bret Wagenhorst, M.D. Ophthalmology NPI 1841201134
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tift Regional Optical
-
Tift Regional Optical
Practice context
Multi-provider organization. 3 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 →
- 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.