| CASE NUMBER | I-200-24304-442782 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/30/2024 |
| DECISION DATE | 11/6/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sleep Medicine Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/6/2025 |
| END DATE | 1/5/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Tift Regional Health System, Inc. |
| TRADE NAME DBA | Tift Regional Medical Center |
| EMPLOYER ADDRESS1 | 901 E 18th Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Tifton |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31794 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12293827120 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dorman |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC MIDDLE NAME | K. Dorman |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 901 East 18th Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Tifton |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31794 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12293827120 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | chris.dorman@tiftregional.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | WEINSTOCK |
| AGENT ATTORNEY FIRST NAME | KAREN |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 1827 INDEPENDENCE SQUARE |
| AGENT ATTORNEY ADDRESS2 | N/A |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30338 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17709130800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@visa-pros.com |
| LAWFIRM NAME BUSINESS NAME | Weinstock Immigration Lawyers, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 907 East 18th Street |
| WORKSITE ADDRESS2 | Suite 130 |
| WORKSITE CITY | Tifton |
| WORKSITE COUNTY | TIFT |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 31794 |
| WAGE RATE OF PAY FROM | $240,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $350,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-06 |
