NPI age
5 years
Enumerated 2021-03-09
● Active Type 2 · Organization
Southwell Ambulatory Inc
Southwell Ambulatory Inc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brooks
Svp/cfo
Last NPPES update
2022-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2922 N Oak St Ste C
Valdosta, GA 316021885
Mailing address
410 Connell Rd
Valdosta, GA 316021898
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
-
Family Medicine PrimaryFamily 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...
-
Nurse PractitionerDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southwell Primary Care
-
Southwell Primary Care
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.