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SOUTHWELL PEDIATRICS VALDOSTA
NPI 1962035360
Pediatrics in Valdosta, GA

Active since February 14, 2020
3014 N PATTERSON ST, VALDOSTA, GA 31602(229) 242-0194(229) 242-1785 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Feb 14, 2020 (2 updates tracked since 2020).

About Southwell Pediatrics Valdosta NPPES

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

SOUTHWELL PEDIATRICS VALDOSTA (NPI 1962035360) is a healthcare organization registered as a pediatrics in Valdosta, Georgia and active in the NPI registry since February 2020. The organization lists Troy Brooks, Svp/cfo, as its authorized official.

NPPES Registry Identity

NPI1962035360
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHWELL AMBULATORY INC
Location Address3014 N PATTERSON STValdosta, GA 31602-1711
Mailing Address907 18th St E Ste 400Tifton, GA 31794-3684 · (229) 353-3422
Phone(229) 242-0194
Fax(229) 242-1785
Organization SubpartNo
Authorized OfficialTroy BrooksSvp/cfo · (229) 353-3397
Enumeration DateFebruary 14, 2020
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1962035360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3014 N PATTERSON ST, Valdosta, GA 31602
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Other Names 1

Doing Business AsSouthwell Pediatrics Valdosta

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 4

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

JANICE H LOEFFLER MD PC
Specialist
3014 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 242-0194
BRYSON SIMPSON FNP-C
Nurse Practitioner (Family)
3014 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 262-6815
JOSEPH STUART THOMAS MD
Internal Medicine
3014 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 262-6815
SOUTHWELL AMBULATORY INC
Internal Medicine
3014 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 262-6815

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 1962035360. It was assigned to this organization in the NPPES registry on February 14, 2020. The provider is doing business as Southwell Pediatrics Valdosta.

Where is Southwell Ambulatory Inc located?

Southwell Ambulatory Inc is located at 3014 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 242-0194.

What is Southwell Ambulatory Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.