Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Family Walk-In

Organization Family Nurse Practitioner · NPI 1588266977

Southern Family Walk-In is a Family Nurse Practitioner in Baxley, Georgia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

73 SW Park Ave Ste B
Baxley, GA 31513-0485
Phone: (912) 705-8050
Fax: (912) 705-8051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1588266977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Bass — Owner · (912) 705-8050
NPI enumeratedNovember 11, 2020
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address73 Sw Park Ave Ste B, Baxley, GA 31513-2008

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