# TIFT REGIONAL HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cook Medical Center, Southwell Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568410264
- **Authorized official:** CHRISTOPHER DORMAN (PRESIDENT/CEO)
- **Authorized official phone:** (229) 353-6104

## Contact information

- **Practice address:** 260 MJ TAYLOR RD, ADEL, GA 31620-3485
- **Practice address phone:** (229) 896-8159
- **Mailing address:** PO BOX 2650, TIFTON, GA 31793-2650
- **Mailing address phone:** (229) 402-0425
- **Mailing address fax:** (229) 391-4059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000001251A | — | GA |
| 05 | — | 00001251A | — | GA |
| 01 | — | 000306 | BLUE CROSS | GA |
| 01 | — | 037-681 | STATE LICENSE | GA |