BETTY V KOUKIS, PC
NPI 1417470360
Obstetrics & Gynecology - Gynecology in Moultrie, GA
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Betty V Koukis, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Betty V Koukis, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Betty V Koukis, PC enrolled in Medicare?
Yes. Betty V Koukis, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Betty V Koukis, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Betty V Koukis, PC, in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Betty V Koukis, Pc · NPI 1417470360
Gynecology organization in Moultrie, Georgia. Organization record, active in the CMS NPPES registry since July 24, 2017.
## Identity
- **NPI:** 1417470360 (Entity type: Organization)
- **Enumerated:** July 24, 2017
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Betty Koukis, MD
## Practice location
- **Address:** 1405 S MAIN ST, Moultrie, GA 31768-5811
- **Phone:** (229) 785-2335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Obstetrics/Gynecology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417470360) · Data from the CMS NPPES public registry.