SOUTHWELL AMBULATORY INC
NPI 1306466206
Clinic/Center - Multi-Specialty in Tifton, GA
About Southwell Ambulatory Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWELL AMBULATORY INC (NPI 1306466206) is a healthcare organization registered as a multi-specialty in Tifton, Georgia and active in the NPI registry since April 2020. The organization lists Troy Brooks, Svp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwell Ambulatory Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Southwell Ambulatory Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southwell Ambulatory Inc's NPI number?
The NPI number for Southwell Ambulatory Inc is 1306466206. It was assigned to this organization in the NPPES registry on April 21, 2020.
Where is Southwell Ambulatory Inc located?
Southwell Ambulatory Inc is located at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.
What is Southwell Ambulatory Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Southwell Ambulatory Inc enrolled in Medicare?
Yes. Southwell Ambulatory Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwell Ambulatory Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwell Ambulatory Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Nurse Midwife (CNM) (4), Nurse Practitioner (4) and Gastroenterology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southwell Ambulatory Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southwell Ambulatory Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southwell Ambulatory Inc was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southwell Ambulatory Inc · NPI 1306466206
Multi-Specialty organization in Tifton, Georgia. Organization record, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1306466206 (Entity type: Organization)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Troy Brooks, SVP/CFO
## Practice location
- **Address:** 901 18TH ST E, Tifton, GA 31794-3648
- **Phone:** (229) 382-7120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (4), Nurse Practitioner (4), Gastroenterology (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306466206) · Data from the CMS NPPES public registry.