Individual provider Active NPI

Nancy Caroline Roe, FNP-C

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1124680673
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP235374 Issued in GA
Practice address
2922 N Oak St Ste C
Valdosta, GA 31602-1885
Phone
(229) 244-1570
Fax
(229) 299-4291
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP235374 GA Primary

Addresses

Primary practice location

2922 N Oak St Ste C
Valdosta, GA 31602-1885

Mailing address

PO Box 2650
Tifton, GA 31793-2650
Phone (229) 402-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823003030 GA Practitioner - Nurse Practitioner 9739417023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwell Ambulatory IncGroup PAC ID 9234566779, 11 clinicians

Practice addresses (Care Compare)

2922 N Oak St
Suite C
Valdosta, GA 31602-1885
Phone (229) 262-6810

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • Southwell Medical, a Campus of TRMC Hospital, Adel, GA, CCN 110101
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326
  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
  • SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234

Merit-based Incentive Payment System (MIPS)

Final score
91.26 of 100Reported as group
Quality
91.03
Promoting interoperability
100
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP235374GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Dec 1, 2019 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Southwell Ambulatory Inc CurrentSince Jun 1, 2021 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Southwell Ambulatory Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2735 Central Ave S
Tifton, GA 31794
Phone (229) 388-5690

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

410 Connell Rd
Valdosta, GA 31602
Phone (229) 244-1570

3790 Old US Highway 41 N
Ste B
Valdosta, GA 31602
Phone (229) 241-8811

2922 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 262-6819

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20731/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nancy.roe.1@20731.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1124680673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317932650",
            "telephone_number": "229-402-0425",
            "fax_number": "229-353-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 N OAK ST STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021885",
            "telephone_number": "229-244-1570",
            "fax_number": "229-299-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "NANCY",
        "middle_name": "CAROLINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP235374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.