TIFT REGIONAL WOUND CARE CENTER
NPI 1306244090
Clinic/Center in Tifton, GA
NPI Status: Active since December 11, 2014
Contact Information
907 18TH ST E
SUITE 140
TIFTON, GA
ZIP 31794
Phone: (229) 353-4325
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 11D2179660
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2026
About TIFT REGIONAL WOUND CARE CENTER
This page provides the complete NPI Profile along with additional information for Tift Regional Wound Care Center, a provider established in Tifton, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1306244090 assigned on December 2014. The practitioner's primary taxonomy code is 261Q00000X with license number 031888 (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Tift Regional Wound Care Center. The authorized official of this NPI record is Christopher Dorman (President/ceo)
- NPI
- 1306244090
- Provider Legal Name
- TIFT REGIONAL HEALTH SYSTEM INC
- Other Organization Name
- TIFT REGIONAL WOUND CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 907 18TH ST E SUITE 140 TIFTON, GA 31794
- Location Phone
- (229) 353-4325
- Mailing Address
- PO BOX 2650 TIFTON, GA 31793
- Mailing Phone
- (229) 353-3422
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2014
- Last Update Date
- 06-24-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 031888
- License State
- GA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2179660
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2024
- Certificate Expiration Date
- February 26, 2026
- Laboratory Director
- NORRIS K. BURTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tift Regional Wound Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TIFT REGIONAL WOUND CARE CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 2 | 4 | 4 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 4 | 8 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 4 + 8 + 0 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1306244090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902871965 | JESSICA LYNN HART PA C Individual | Physician Assistant | 907 18TH ST E SUITE 490 TIFTON, GA 31794 (229) 391-3320 |
| 1225098551 | TIFTON PATHOLOGICAL SERVICES Organization | Clinical Medical Laboratory | 907 18TH ST E TIFTON, GA 31794 (229) 353-7535 |
| 1386608818 | SARA C SMITH M.D. Individual | Specialist | 907 18TH ST E SUITE 400 TIFTON, GA 31794 (229) 391-3640 |
| 1104811280 | WILLIAM C PFISTER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 907 18TH ST E TIFTON, GA 31794 (229) 353-7535 |
| 1790125813 | MS. ELIZABETH ELLEN SMITH APRN Individual | Nurse Practitioner (Adult Health) | 907 18TH ST E SUITE 290 TIFTON, GA 31794 (229) 353-6546 |
| 1356778435 | LEE MICHELLE BROOKS LCSW Individual | Social Worker (Clinical) | 907 18TH ST E SUITE 150 TIFTON, GA 31794 (229) 353-3422 |
| 1255364600 | CARDIOLOGY SPECIALISTS OF GEORGIA LLC Organization | Internal Medicine (Cardiovascular Disease) | 907 18TH ST E SUITE 100 TIFTON, GA 31794 (229) 391-9980 |
| 1578558805 | DR. NORRIS KENT BURTON M.D. Individual | Family Medicine | 907 18TH ST E SUITE 140 TIFTON, GA 31794 (229) 353-4325 |
| 1821128778 | DR. CHARLES DERRON SPIKES M.D. Individual | Plastic Surgery | 907 18TH ST E STE 340 TIFTON, GA 31794 (229) 391-3600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306244090, enumerated in the NPI registry as an "organization" on December 11, 2014
The provider is located at 907 18th St E Suite 140 Tifton, Ga 31794 and the phone number is (229) 353-4325
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2179660 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 11, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.