Organization · Type 2 NPI

Colquitt Regional Medical Center

Family Medicine Physician · Moultrie, GA

NPI number 1962850396 Active

Practice location

3131 S Main St
Moultrie, GA 31768-6925

Call (229) 502-9769 Map

Fax (229) 985-3751

Mailing address

PO Box 2876
Moultrie, GA 31776-2876

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

126 other providers at this address

Other family medicine physician providers in Moultrie

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NPI record

NPI: 1962850396
Entity type: Organization (Type 2)
Issued: May 26, 2016
Last updated: Sep 4, 2025
Status: Active

Other names

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Ga South Family Medicine Residency Program · doing business as
Georgia South Family Medicine · doing business as

Authorized official

James L Matney
CEO
(229) 985-3420

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962850396

Colquitt Regional Medical Center's National Provider Identifier is 1962850396, issued on May 26, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.