Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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

Practice location Address checks out

305 Oak Center Pl
Valdosta, GA 31602-1678
Phone: (706) 840-4671
Show map & directions

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 68 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Southland - Lakeland Medical Services, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Valdosta