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

Southwell Ambulatory Inc

Organization Family Medicine Physician · NPI 1497330625

Southwell Ambulatory Inc is a Family Medicine Physician in Valdosta, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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) 262-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1497330625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Brooks — Svp/Cfo · (229) 353-3397
Other names Southwell Primary Care; Southwell Primary Care
NPI enumeratedMarch 9, 2021
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address410 Connell Rd, Valdosta, GA 31602-1898

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