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COLQUITT REGIONAL MEDICAL CENTER
NPI 1124155965
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moultrie, GA

Active since February 28, 2007CLIA Certified · 2 labs
1/5
Overall Rating
15 HOSPITAL PARK, MOULTRIE, GA 31768(229) 891-9333 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colquitt Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLQUITT REGIONAL MEDICAL CENTER (NPI 1124155965), doing business as Colquitt Regional Medical Center Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moultrie, Georgia and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Jim Matney, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1124155965
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCOLQUITT REGIONAL MEDICAL CENTER
Location Address15 HOSPITAL PARKMoultrie, GA 31768-6772
Mailing Address3131 S Main StMoultrie, GA 31768-6925 · (229) 985-3420
Phone(229) 891-9333
Organization SubpartYes
Authorized OfficialJim MatneyPresident/ceo · (229) 985-3420
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1124155965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in GA · 035296
15 HOSPITAL PARK, Moultrie, GA 31768
Open in Google Maps ↗

Other Names 1

Doing Business AsColquitt Regional Medical Center Dialysis

Other Identifiers 1

Medicaid000408845AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D0266179

Colquitt Regional Medical Center · Moultrie, GA
Active · expires Feb 27, 2027
CLIA Number11D0266179
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Cory Porteus
Laboratory Phone(229) 890-3585
Laboratory LocationColquitt Regional Medical Center3131 South Main Street, Moultrie, GA 31768
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D1083566

Colquitt Regional Medical Center Dialysis · Moultrie, GA
Active · expires May 5, 2028
CLIA Number11D1083566
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorWaters M. Hicks
Laboratory Phone(229) 891-9333
Laboratory LocationColquitt Regional Medical Center Dialysis449 31st Avenue SE, Moultrie, GA 31768
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Colquitt Regional Medical Center Dialysis (CMS certification number 112314), from CMS Care Compare.

Colquitt Regional Medical Center Dialysis

Dialysis facility · Moultrie, GA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
CMS Certification Number112314
ESRD NetworkNetwork 6
Hemodialysis Stations26
Medicare-Certified SinceMarch 6, 1986
Location449 31ST AVENUE SEMoultrie, GA 31768 · Colquitt County
Phone(229) 891-9333
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST CHOICE WOMEN'S CARE PC
Specialist
15 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9131
COLQUITT REGIONAL MEDICAL CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
15 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colquitt Regional Medical Center's NPI number?

The NPI number for Colquitt Regional Medical Center is 1124155965. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Colquitt Regional Medical Center Dialysis.

Where is Colquitt Regional Medical Center located?

Colquitt Regional Medical Center is located at 15 Hospital Park, Moultrie, GA 31768. The listed phone number is (229) 891-9333.

What is Colquitt Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Colquitt Regional Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Colquitt Regional Medical Center a Medicare-certified dialysis facility?

Yes. Colquitt Regional Medical Center Dialysis is a Medicare-certified dialysis facility, certified since March 6, 1986.

What quality rating does Colquitt Regional Medical Center have?

CMS rates Colquitt Regional Medical Center Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Colquitt Regional Medical Center accept?

Health plans from Alliant Health Plans, Inc. list Colquitt Regional Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colquitt Regional Medical Center was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.