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BETTY V KOUKIS, PC
NPI 1417470360
Obstetrics & Gynecology - Gynecology in Moultrie, GA

Active since July 24, 2017CLIA 11D2149464 · Waiver
1405 S MAIN ST, MOULTRIE, GA 31768(229) 785-2335 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Mar 11, 2019, Mar 4, 2019 and 2 more (5 updates tracked since 2017).

About Betty V Koukis, Pc NPPES

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

BETTY V KOUKIS, PC (NPI 1417470360) is a healthcare organization registered as a gynecology in Moultrie, Georgia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Betty Vassiliki Koukis, Md, as its authorized official.

NPPES Registry Identity

NPI1417470360
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameBETTY V KOUKIS, PC
Location Address1405 S MAIN STMoultrie, GA 31768-5811
Mailing Address30 Oak LnMoultrie, GA 31768-5444 · (917) 386-5611
Phone(229) 785-2335
Organization SubpartNo
Authorized OfficialBetty Vassiliki KoukisMd · (229) 785-2335
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 10, 20205 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1417470360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1405 S MAIN ST, Moultrie, GA 31768
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 11D2149464

Betty V Koukism MD · Moultrie, GA
Active · expires Jun 4, 2028
CLIA Number11D2149464
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorBetty V. Koukis
Laboratory Phone(229) 785-2335
Laboratory LocationBetty V Koukism MD1405 South Main Street, Moultrie, GA 31768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CHIROCARE INTEGRATIONS
Chiropractor
1405 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 668-2273
DR. CAMILLE AKRIDGE D.C
Chiropractor
1405 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 668-2273
SLEEP CENTER OF MOULTRIE, LLC
Internal Medicine (Sleep Medicine)
1405 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 785-2335
DR. BETTY VASSILIKI KOUKIS M.D
Obstetrics & Gynecology
1405 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 785-2335

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 Betty V Koukis, PC's NPI number?

The NPI number for Betty V Koukis, PC is 1417470360. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is Betty V Koukis, PC located?

Betty V Koukis, PC is located at 1405 S Main St, Moultrie, GA 31768. The listed phone number is (229) 785-2335.

What is Betty V Koukis, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Betty V Koukis, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2149464) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Betty V Koukis, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Betty V Koukis, PC 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 Betty V Koukis, PC was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.