NPI age
6 years
Enumerated 2020-02-14
● Active Type 2 · Organization
Southwell Ambulatory Inc
Southwell Ambulatory Inc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
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 2726 active pediatrics providers in Georgia.
NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3014 N Patterson St
Valdosta, GA 316021711
Mailing address
907 18th St E Ste 400
Tifton, GA 317943684
Authorized official
Troy Brooks
Svp/cfo
📞 2293533397
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Janice Loeffler, MD Pediatrics NPI 1609882091
- Bryson Simpson, FNP-C Nurse Practitioner NPI 1104792704
Specialties
-
Pediatrics PrimaryA 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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southwell Pediatrics Valdosta
-
Southwell Pediatrics Valdosta
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.