SOUTHWELL NEPHROLOGY – NPI #1053933754
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

SOUTHWELL NEPHROLOGY is a provider located in TIFTON, GA. NPPES has assigned the NPI number 1053933754 to SOUTHWELL NEPHROLOGY on May 15, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHWELL NEPHROLOGY” is a dba name, the actual legal business name for this organization is TIFT REGIONAL HEALTH SYSTEM INC. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Jun 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWELL NEPHROLOGY below.

NPI Profile for
TIFT REGIONAL HEALTH SYSTEM INC

NPI Number
1053933754
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIFT REGIONAL HEALTH SYSTEM INC
Doing Business As (dba): SOUTHWELL NEPHROLOGY
Primary location
39 KENT RD STE 1
TIFTON, GA 31794-1697
Phone: (229) 391-4310 Fax: (229) 391-4243
Mailing address
PO BOX 2650
TIFTON, GA 31793-2650
Phone: (229) 353-3422 Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER DORMAN
PRESIDENT/CEO
Phone: (229) 353-6104
Updated
Certification Date
Jun 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.