Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nancy Caroline Roe, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124680673

Nancy Caroline Roe, FNP-C is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2019, 7 years ago. Practices with Southwell Ambulatory Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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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.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP235374 (GA)

Record details

NPI number1124680673
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJuly 5, 2019
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing addressPo Box 2650, Tifton, GA 31793-2650

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southwell Ambulatory Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Valdosta