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SOUTHWELL AMBULATORY INC
NPI 1720693047
Obstetrics & Gynecology in Valdosta, GA

Active since September 14, 2020
814 NORTHWOOD PARK DR, VALDOSTA, GA 31602(229) 262-6810(229) 353-4901 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2022, Oct 8, 2020, Sep 14, 2020 (3 updates tracked since 2020).

About Southwell Ambulatory Inc NPPES

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

SOUTHWELL AMBULATORY INC (NPI 1720693047), doing business as Southwell Ob/gyn, is a healthcare organization registered as an obstetrics & gynecology in Valdosta, Georgia and active in the NPI registry since September 2020. The organization lists Troy Brooks, Svp/cfo, as its authorized official.

NPPES Registry Identity

NPI1720693047
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHWELL AMBULATORY INC
Location Address814 NORTHWOOD PARK DRValdosta, GA 31602-1398
Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 402-0425 · Fax (229) 391-4059
Phone(229) 262-6810
Fax(229) 353-4901
Organization SubpartNo
Authorized OfficialTroy BrooksSvp/cfo · (229) 353-3397
Enumeration DateSeptember 14, 2020
Last NPPES UpdateOctober 27, 20253 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1720693047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
814 NORTHWOOD PARK DR, Valdosta, GA 31602
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Other Names 1

Doing Business AsSouthwell Ob/gyn

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Southwell Ambulatory Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Certified Nurse Midwife (CNM)4
Nurse Practitioner4
Gastroenterology3
Obstetrics/Gynecology3
Internal Medicine2

Clinicians, nearest first (16)

Michelle Shifflett, CNM
Certified Nurse Midwife (CNM)
NPI 1073034732
814 NORTHWOOD PARK DR
Valdosta, GA 31602
(229) 262-6810
✔ PECOS✔ Accepts MedicareSame address
Heather Stroh, CNM
Certified Nurse Midwife (CNM)
NPI 1710965843
814 NORTHWOOD PARK DR
Valdosta, GA 31602
(229) 262-6819
✔ PECOS✔ Accepts MedicareSame address
Pamela Temples, MD
Obstetrics/Gynecology
NPI 1740366442
814 NORTHWOOD PARK DR
Valdosta, GA 31602
(229) 262-6810
✔ PECOS✔ Accepts MedicareSame address
Edward Fricker, MD
Gastroenterology
NPI 1316933823
3207 COUNTRY CLUB DR
Valdosta, GA 31605
(229) 242-8480
✔ PECOS✔ Accepts Medicare0.1 mi
Kenneth Kiser, APRN
Nurse Practitioner
NPI 1609230069
2922 N OAK ST STE C
Valdosta, GA 31602
(229) 262-6819
✔ PECOS✔ Accepts Medicare0.8 mi
Nancy Roe, FNP-C
Nurse Practitioner
NPI 1124680673
2922 N OAK ST STE C
Valdosta, GA 31602
(229) 244-1570
✔ PECOS✔ Accepts Medicare0.8 mi
Bryson Simpson, FNP-C
Nurse Practitioner
NPI 1104792704
3014 N PATTERSON ST
Valdosta, GA 31602
(229) 262-6815
✔ PECOS✔ Accepts Medicare1.0 mi
Joseph Thomas, MD
Internal Medicine
NPI 1437258506
3014 N PATTERSON ST
Valdosta, GA 31602
(229) 262-6815
✔ PECOS✔ Accepts Medicare1.0 mi
Lynn Lee, M.D.
Internal Medicine
NPI 1548298839
410 CONNELL RD
Valdosta, GA 31602
(229) 244-4720
✔ PECOS1.2 mi
Eric Ward, M.D.
Gastroenterology
NPI 1699703041
410 CONNELL RD
Valdosta, GA 31602
(229) 244-1570
✔ PECOS✔ Accepts Medicare1.2 mi
Kathryn Watt, NPC
Nurse Practitioner
NPI 1154446862
410 CONNELL RD
Valdosta, GA 31602
(229) 244-4720
✔ PECOS✔ Accepts Medicare1.2 mi
Joe Clifton, MD
Obstetrics/Gynecology
NPI 1255417994
220 NORTHSIDE DRIVE
Valdosta, GA 31602
(229) 241-2800
✔ PECOS✔ Accepts Medicare1.2 mi
Sara Yarbrough, DO
Obstetrics/Gynecology
NPI 1437235199
220 NORTHSIDE DRIVE
Valdosta, GA 31602
(229) 241-2800
✔ PECOS✔ Accepts Medicare1.2 mi
Karen Honn, CNM
Certified Nurse Midwife (CNM)
NPI 1710317094
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS64 mi
Hillary Midler, MSN-MIDWIFERY
Certified Nurse Midwife (CNM)
NPI 1750895082
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS64 mi
Carl Woods, M.D.
Gastroenterology
NPI 1174550727
801 E 6TH ST STE 501
Panama City, FL 32401
(850) 804-3040
✔ PECOS✔ Accepts Medicare148 mi

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 1720693047. It was assigned to this organization in the NPPES registry on September 14, 2020. The provider is doing business as Southwell OB/GYN.

Where is Southwell Ambulatory Inc located?

Southwell Ambulatory Inc is located at 814 Northwood Park Dr, Valdosta, GA 31602. The listed phone number is (229) 262-6810.

What is Southwell Ambulatory Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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). Of these, 3 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southwell Ambulatory Inc accept?

Health plans from Alliant Health Plans, Inc. 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 11 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.