COLQUITT REGIONAL INTERNAL MEDICINE (NPI# 1629485032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629485032 |
| Entity Type | Organization |
| Organization Name | COLQUITT REGIONAL INTERNAL MEDICINE |
| Practice Address |
6 Hospital Park Moultrie GA 31768-6700 |
| Mailing Address |
Po Box 2438 Moultrie GA 31776-2438 |
| Practice Telephone | 2298919009 |
| Practice Fax Number | 2298901282 |
| Mailing Telephone | 2298919009 |
| Mailing Fax Number | 2298901282 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | AMANDA L ROBERTS (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 2298919131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6 HOSPITAL PARK |
| City | MOULTRIE |
| State | GA |
| Zip Code | 31768-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366521205 | Charles Gary Lodge | Family Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 | 2006-11-02 |
| 1336665371 | Colquitt Regional Infectious Disease LLC | Internal Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 | 2017-08-22 |
| 1982124285 | Mary Catherine Seabrook Duskin | Family Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 | 2017-06-27 |
| 1457791857 | Sedrick Bradley | Internal Medicine | 6 Hospital Park, Moultrie, GA 31768 | 2013-06-28 |
| 1639359342 | Jeong Sok Seo | Internal Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 | 2007-11-09 |
| 1881758753 | Colquitt Regional Medical Center | Clinic/Center | 6 Hospital Park, Moultrie, GA 31768-6700 | 2006-12-21 |
| 1841369949 | Billy Ray Price II | Family Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
| 1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
| 1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
| 1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
| 1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
| 1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
| 1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
| 1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
| 1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| Find all providers in zip 31768 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1063724185 | Marianne Laguerre | Internal Medicine | 3007 2nd St Se, Moultrie, GA 31768-6798 | 2010-07-06 |
| 1932321155 | Michael Brown | Internal Medicine | 7 Hospital Park, Moultrie, GA 31768-6772 | 2007-05-03 |
| 1982744082 | Moultrie Internal Medicine | Internal Medicine | 320 Sunset Cir, Moultrie, GA 31768-6924 | 2007-02-07 |
| 1346388410 | Rhonda Bedell | Internal Medicine | 633 Veterans Pkwy S, Moultrie, GA 31788-8811 | 2007-02-02 |
| 1194891200 | Francis Kundi | Internal Medicine | 14 Hospital Park, Moultrie, GA 31768-6700 | 2006-11-28 |
| 1013019033 | James Clyde Lamon | Internal Medicine | 320 Sunset Circle, Moultrie, GA 31768 | 2006-09-01 |
| 1407825359 | Mason Todd Trebony | Internal Medicine | 9 Hospital Park, Moultrie, GA 31768-6772 | 2006-03-14 |
| 1104318864 | Sterling Internal Medicine, LLC | Internal Medicine | 2509 S Main St, Moultrie, GA 31768 | 2018-05-30 |
| 1356729297 | Jenna Lee Bates | Internal Medicine | 3131 S Main St, Moultrie, GA 31768 | 2015-05-12 |
| 1679835300 | Seth A. Berl, Md, PC | Internal Medicine | 9 Hospital Park, Moultrie, GA 31768-6772 | 2012-06-08 |
| Find all providers in MOULTRIE | ||||
Please comment or provide details below to improve the information on COLQUITT REGIONAL INTERNAL MEDICINE.
| 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.