NPI age
6 years
Enumerated 2019-12-05
● Active Type 2 · Organization
Southwell Ambulatory Inc
Southwell Ambulatory Inc is 1 of 643 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Brooks
Svp/cfo
Last NPPES update
2025-10-27
Source: monthly bulk 2026-05
How this organization compares
Across 643 active internal medicine providers in Georgia.
NPI age
6 years
↓ 13 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-12Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2922 N Oak St Ste C
Valdosta, GA 316021885
Mailing address
Po Box 2650
Tifton, GA 317932650
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3790 Old Us 41 N Ste B
Valdosta, GA 316026866
Authorized official
Troy Brooks
Svp/cfo
📞 2293533397
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kenneth Kiser, APRN Nurse Practitioner NPI 1609230069
- Nancy Roe, FNP-C Nurse Practitioner NPI 1124680673
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southwell Gastroenterology
-
Southwell Gastroenterology
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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