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SOUTHWELL PRIMARY CARE
NPI 1497330625
Family Medicine in Valdosta, GA

Active since March 09, 2021
2922 N OAK ST STE C, VALDOSTA, GA 31602(229) 262-6819 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Mar 10, 2021 (2 updates tracked since 2021).

About Southwell Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWELL PRIMARY CARE (NPI 1497330625) is a healthcare organization registered as a family medicine in Valdosta, Georgia and active in the NPI registry since March 2021. The organization lists Troy Brooks, Svp/cfo, as its authorized official.

NPPES Registry Identity

NPI1497330625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHWELL AMBULATORY INC
Location Address2922 N OAK ST STE CValdosta, GA 31602-1885
Mailing Address410 Connell RdValdosta, GA 31602-1898 · (229) 353-6889 · Fax (229) 219-1631
Phone(229) 262-6819
Organization SubpartNo
Authorized OfficialTroy BrooksSvp/cfo · (229) 353-3397
Enumeration DateMarch 9, 2021
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1497330625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2922 N OAK ST STE C, Valdosta, GA 31602
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Other Names 1

Doing Business AsSouthwell Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY CAROLINE ROE FNP-C
Nurse Practitioner (Family)
2922 N OAK ST STE C
VALDOSTA, GA 31602
Lowndes County (229) 244-1570
SOUTHWELL AMBULATORY INC
Internal Medicine (Gastroenterology)
2922 N OAK ST STE C
VALDOSTA, GA 31602
Lowndes County (229) 244-1570
KENNETH LINDSEY KISER APRN
Nurse Practitioner (Primary Care)
2922 N OAK ST STE C
VALDOSTA, GA 31602
Lowndes County (229) 262-6819

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 1497330625. It was assigned to this organization in the NPPES registry on March 9, 2021. The provider is doing business as Southwell Primary Care.

Where is Southwell Ambulatory Inc located?

Southwell Ambulatory Inc is located at 2922 N Oak St Ste C, Valdosta, GA 31602. The listed phone number is (229) 262-6819.

What is Southwell Ambulatory Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southwell Ambulatory Inc was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.