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SOUTH GA SPINE CARE INSTITUTE
NPI 1437299740
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Moultrie, GA

Active since February 07, 2007
8 LIVE OAK CT, MOULTRIE, GA 31768(229) 890-6612(229) 890-6621 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Ga Spine Care Institute NPPES

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

SOUTH GA SPINE CARE INSTITUTE (NPI 1437299740) is a healthcare organization registered as an orthopaedic surgery of the spine in Moultrie, Georgia and active in the NPI registry since February 2007. The organization lists Andrew Gregory Cordista, Doctor, as its authorized official.

NPPES Registry Identity

NPI1437299740
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSOUTH GA SPINE CARE INSTITUTE
Location Address8 LIVE OAK CTMoultrie, GA 31768-6783
Mailing Address8 Live Oak CtMoultrie, GA 31768-6783 · (229) 890-6612 · Fax (229) 890-6621
Phone(229) 890-6612
Fax(229) 890-6621
Organization SubpartNo
Authorized OfficialAndrew Gregory CordistaDoctor · (229) 890-6612
Enumeration DateFebruary 7, 2007
Last NPPES UpdateDecember 16, 2015
✔ NPI 1437299740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in GA · 051451
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

8 LIVE OAK CT, Moultrie, GA 31768
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Other Identifiers 3

Medicare UPINH49977GA
Medicare ID-Type Unspecified20BBFNMGA
Medicaid000921522BGA

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

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.

DR. ANDREW G CORDISTA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 890-6612
MRS. ASHLEY LACEY BOSTICK NP
Nurse Practitioner
8 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 890-6612
HANGER PROSTHETICS & ORTHOTICS, INC.
Prosthetic/Orthotic Supplier
8 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 502-4225
COLQUITT REGIONAL SPINE LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 890-6612

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 South Ga Spine Care Institute's NPI number?

The NPI number for South Ga Spine Care Institute is 1437299740. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is South Ga Spine Care Institute located?

South Ga Spine Care Institute is located at 8 Live Oak Ct, Moultrie, GA 31768. The listed phone number is (229) 890-6612.

What is South Ga Spine Care Institute's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for South Ga Spine Care Institute was last updated on December 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.