Southwell Medical Clinic – Multi-Specialty Clinic/Center, NPI 1861022329

Southwell Medical Clinic is a healthcare provider. based in Tifton, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for Southwell Medical Clinic is 1861022329

Main info

Organization
Name
Southwell Medical Clinic
NPI
1861022329
Phone
(229) 353-3422
Address
907 18TH ST E STE 400
Authorized Official
CHRISTOPHER DORMAN PRESIDENT/CEO
Enumeration Date
23 January 2020
Last Update Date
3 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness90
Years active:6State licenses:0Digital endpoints

Provider Addresses for Southwell Medical Clinic

  • 907 18TH ST E STE 400

    TIFTON, GA 317943684

    Phone: (229) 353-3422

    Type: Mailing

  • 1111 20th St E

    Tifton, GA 317943689

    Phone: (229) 391-4030

    Type: Location

  • PO BOX 2650

    TIFTON, GA 317932650

    Phone: (229) 353-3422

    Type: Mailing

  • 2225 US HIGHWAY 41 N

    TIFTON, GA 317942749

    Phone: (229) 391-4100

    Fax: (229) 391-4508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31794)

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Reviews

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Frequently asked questions

How do I look up Southwell Medical Clinic by NPI?
Use NPI 1861022329 when you need to reference Southwell Medical Clinic in forms, claims, or directories.
Is Southwell Medical Clinic's NPI currently valid?
The extract we use shows Southwell Medical Clinic as active.
What field does Southwell Medical Clinic work in?
You can think of Southwell Medical Clinic as practicing within Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Southwell Medical Clinic practice in Georgia?
You will see Tifton, Georgia on file for Southwell Medical Clinic alongside any extra practice locations.
Is Southwell Medical Clinic a real provider?
This page reflects official NPPES data for NPI 1861022329. Always confirm identity and privileges with the practice and licensing boards.

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