| Southwell Gastroenterology | |
|
410 Connell Road Valdosta GA 31602-1407 | |
| (229) 244-1570 | |
| (229) 299-4291 |
| Full Name | Southwell Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Connell Road, Valdosta, Georgia |
| Authorized Official Name and Position | Troy Brooks (SVP/CFO) |
| Authorized Official Contact | 2293533397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwell Gastroenterology 907 E 18th Street Suite 400 Tifton GA 31794-3684 Ph: (229) 353-3422 | Southwell Gastroenterology 410 Connell Road Valdosta GA 31602-1407 Ph: (229) 244-1570 |
| NPI Number | 1164069472 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 9234566779 |
|---|---|
| Medicare Enrollment ID | O20200224001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164069472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Eric M Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699703041 PECOS PAC ID: 0143207027 Enrollment ID: I20040630000216 |
| Provider Name | Sara N Yarbrough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437235199 PECOS PAC ID: 2466423314 Enrollment ID: I20040804000262 |
| Provider Name | Pamela H Temples |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740366442 PECOS PAC ID: 8527039445 Enrollment ID: I20040804000735 |
| Provider Name | Heather M Stroh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710965843 PECOS PAC ID: 6002875606 Enrollment ID: I20041008000514 |
| Provider Name | Edward J Fricker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316933823 PECOS PAC ID: 5193773406 Enrollment ID: I20050104000215 |
| Provider Name | Kathryn C Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154446862 PECOS PAC ID: 0749386258 Enrollment ID: I20070430000406 |
| Provider Name | Lynn S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548298839 PECOS PAC ID: 7315028974 Enrollment ID: I20101103000995 |
| Provider Name | Joe C Clifton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255417994 PECOS PAC ID: 5890693956 Enrollment ID: I20110524000099 |
| Provider Name | Carl Allen Woods |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174550727 PECOS PAC ID: 6103803903 Enrollment ID: I20120322000168 |
| Provider Name | Kenneth Lindsey Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609230069 PECOS PAC ID: 0446532949 Enrollment ID: I20170118000482 |
| Provider Name | Nancy Caroline Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124680673 PECOS PAC ID: 9739417023 Enrollment ID: I20190823003030 |
| Provider Name | Hillary Midler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750895082 PECOS PAC ID: 3274953799 Enrollment ID: I20201021001780 |
| Provider Name | Michelle Lynn Shifflett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073034732 PECOS PAC ID: 3577836501 Enrollment ID: I20231122001417 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |