OrganizationActiveAccepts Medicare
Tift Regional Health System Inc.
NPI 1962085282 · Pharmacy · Tifton, GA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1962085282
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Christopher Dorman, President/Ceo(229) 353-6104
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1623 Madison Ave
Tifton, GA 31794-3757
Phone: (229) 353-6369
Street-level locationGet directions
Mailing address
Po Box 2650
Tifton, GA 31793-2650
Other names (DBA / former)
- Doing business as
- Tift Regional Specialty Pharmacy
- Doing business as
- Tift Regional Specialty Pharmacy
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.