SOUTHWELL AMBULATORY INC (NPI# 1598304974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598304974 |
| Entity Type | Organization |
| Organization Name | SOUTHWELL AMBULATORY INC |
| Practice Address |
2301 N Ashley St Valdosta GA 31602-2620 |
| Mailing Address |
907 18th St E Ste 400 Tifton GA 31794-3684 |
| Practice Telephone | 2292450666 |
| Mailing Telephone | 2293533422 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | LINDA A WILSON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 2293533400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwell Infectious Disease | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 James St, Adel, GA 316201504 | 2292450666 | |
| 907 18th St E Ste 130, Tifton, GA 317943643 | 2292450666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693047 | Southwell Ambulatory Inc | Obstetrics & Gynecology | 814 Northwood Park Dr, Valdosta, GA 31602-1398 | 2020-09-14 |
| 1306466206 | Southwell Ambulatory Inc | Clinic/Center | 901 18th St E, Tifton, GA 31794-3648 | 2020-04-21 |
| 1962035360 | Southwell Ambulatory Inc | Pediatrics | 3014 N Patterson St, Valdosta, GA 31602-1711 | 2020-02-14 |
| 1164069472 | Southwell Ambulatory Inc | Internal Medicine | 410 Connell Road, Valdosta, GA 31602-1407 | 2019-12-05 |
| 1720625296 | Southwell Ambulatory Inc | Clinic/Center | 410 Connell Road, Valdosta, GA 31602-1407 | 2019-12-04 |
| 1215574926 | Southwell Ambulatory Inc | Clinic/Center | 3207 Country Club Drive, Valdosta, GA 31605-1029 | 2019-12-02 |
| Street Address |
2301 N ASHLEY ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255390084 | Guillermo R Saurina | Internal Medicine | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2006-03-21 |
| 1881023844 | Lori Gordon Tomlinson | Nurse Practitioner | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2013-11-10 |
| 1457377731 | South Georgia Cardiology | Specialist | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2006-07-13 |
| 1295774396 | Serenia Carnegie | Nurse Practitioner | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2006-06-05 |
| 1235184524 | Michelle M Brewer-ewing | Nurse Practitioner | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659565554 | G. Saurina, Md PC | Internal Medicine | 2301 N Ashley Street, Valdosta, GA 31602-2620 | 2007-09-04 |
| 1255390084 | Guillermo R Saurina | Internal Medicine | 2301 N Ashley St, Valdosta, GA 31602-2620 | 2006-03-21 |
| 1275916827 | Matthew R Brown | Internal Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1417571175 | Infusimed, LLC | Internal Medicine | 2193 Cascade Rd Sw, Atlanta, GA 30311-2862 | 2020-05-28 |
| 1528689841 | Elysium Health and Wellness | Internal Medicine | 5555 Peachtree Dunwoody Rd Ste 201, Atlanta, GA 30342-1711 | 2020-04-27 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1942635081 | Faebris Medical & Community Education | Internal Medicine | 3939 Lavista Rd Ste E-310, Tucker, GA 30084-5162 | 2013-09-09 |
| 1275970253 | Bernard M Branson | Internal Medicine | 2175 Eldorado Dr Ne, Atlanta, GA 30345-3414 | 2013-05-30 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1831439744 | Frank Owen Evans Jr. | Internal Medicine | 220 E Montgomery St, Milledgeville, GA 31061-3533 | 2013-03-01 |
| 1972863629 | Jacobo Leon | Internal Medicine | 1500 Oglethorpe Ave Ste 300b, Athens, GA 30606-2181 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.