| Southwell Medical Community Health Center | |
|
2735 Central Ave S Tifton GA 31794-5645 | |
| (229) 388-5690 | |
| (229) 388-5685 |
| Full Name | Southwell Medical Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2735 Central Ave S, Tifton, Georgia |
| Authorized Official Name and Position | Christopher Dorman (PRESIDENT/CEO) |
| Authorized Official Contact | 2293536104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwell Medical Community Health Center Po Box 2650 Tifton GA 31793-2650 Ph: (229) 353-3422 | Southwell Medical Community Health Center 2735 Central Ave S Tifton GA 31794-5645 Ph: (229) 388-5690 |
| NPI Number | 1649800111 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 2062745169 |
|---|---|
| Medicare Enrollment ID | O20200717001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649800111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Worksmart Occupational Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4468 Union Rd, Tifton, GA 31794 Phone: 229-353-6320 Fax: 229-353-6343 | |
Southwell Center For Healing And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd, Suite 2, Tifton, GA 31794 Phone: 229-388-9393 Fax: 229-388-9855 | |
Tifton Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 18th St East, Tifton, GA 31794 Phone: 229-382-6414 | |
Gowdy Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Tift Ave N, Suite 202, Tifton, GA 31794 Phone: 770-355-2064 Fax: 229-238-3940 | |
Allhealth Choice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 2nd St E Ste B, Tifton, GA 31794 Phone: 404-996-0086 | |
Careconnect Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Tift Ave N Ste D, Tifton, GA 31794 Phone: 229-382-5554 Fax: 229-382-0530 | |
Tift Regional Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 18th St E, Suite 140, Tifton, GA 31794 Phone: 229-353-4325 |