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

Selina E Revels, NP

Individual provider Nurse Practitioner · NPI 1164416723

Selina E Revels, NP is a Nurse Practitioner in Baxley, Georgia. Qualified in 1998, 28 years ago. Practices with Southern Medicine of Baxley, Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Licensed in
GA
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

275 N Main St
Baxley, GA 31513-0516
Phone: (912) 785-7022
Fax: (912) 705-8010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 204e 15th St, Alma, GA 31510-2908 — (912) 632-2952

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN073465 (GA)

Record details

NPI number1164416723
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address275 N Main St, Baxley, GA 31513-0516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southern Medicine Of Baxley, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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