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

Southwell Ambulatory Inc

Organization Gastroenterology Physician · NPI 1164069472

Southwell Ambulatory Inc is a Gastroenterology Physician in Valdosta, Georgia. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2922 N Oak St Ste C
Valdosta, GA 31602-1885
Phone: (229) 244-1570
Fax: (229) 299-4291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3790 Old Us 41 N Ste B, Valdosta, GA 31602-6866 — (229) 262-6800

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1164069472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Brooks — Svp/Cfo · (229) 353-3397
Other names Southwell Gastroenterology; Southwell Gastroenterology
NPI enumeratedDecember 5, 2019
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 2650, Tifton, GA 31793-2650

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