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

Kelly Edwards

Individual provider Nurse Practitioner · NPI 1750159588

Kelly Edwards is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2023, 3 years ago. Practices with Southland - Lakeland Medical Services, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
3
Licensed in
FL, GA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

305 Oak Center Pl
Valdosta, GA 31602-1678
Phone: (706) 840-4671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN290241 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 11029685 (FL)

Record details

NPI number1750159588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address305 Oak Center Pl, Valdosta, GA 31602-1678

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southland - Lakeland Medical Services, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Valdosta