Colquitt Regional Medical Center
Family Medicine in Moultrie, GA. Organization (NPI-2).
NPI number1962850396
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1962850396
- Entity type
- Organization (NPI-2)
- Legal business name
- Colquitt Regional Medical Center
- Organization subpart
- No
- Enumeration date
- May 26, 2016
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Georgia South Family Medicine (Doing Business As)
Practice location
3131 S Main StMoultrie, GA 31768-6925
Phone 229-502-9769 · Fax 229-985-3751
Mailing address
Po Box 2876Moultrie, GA 31776-2876
Phone 229-891-9131
Authorized official
James L Matney
Ceo
2299853420
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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