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MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC
NPI 1477620912
Family Medicine in Moultrie, GA

Active since November 29, 2006
760 26TH AVE SE, MOULTRIE, GA 31768(229) 985-6700(229) 891-2382 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moultrie Center For Adult And Pediatric Healthcare, Pc NPPES

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

MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC (NPI 1477620912) is a healthcare organization registered as a family medicine in Moultrie, Georgia and active in the NPI registry since November 2006. The organization lists Rhonda R. Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477620912
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC
Location Address760 26TH AVE SEMoultrie, GA 31768-6799
Mailing Address760 26th Ave., SeMoultrie, GA 31768-6799 · (229) 985-6700 · Fax (229) 891-2382
Phone(229) 985-6700
Fax(229) 891-2382
Organization SubpartNo
Authorized OfficialRhonda R. SmithPractice Manager · (229) 985-6700
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 7, 2016
✔ NPI 1477620912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
760 26TH AVE SE, Moultrie, GA 31768
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP4399GA

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 9

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

MS. SANDRA DEE MARTIN FNP-BC
Nurse Practitioner (Family)
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457
CARECONNECT HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457
DR. BUFORD OTTO EDWARDS JR. M.D.
Pediatrics
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457
DR. ROMANA Y BAIRAN M.D.
Pediatrics
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457
BARBARA EILEEN EBERT MD
Dermatology
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 502-9710
KALEY ADAMS PNP
Nurse Practitioner (Pediatrics)
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457
COLQUITT REGIONAL DERMATOLOGY, LLC
Dermatology
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 502-9710
BEYLEE BOZEMAN
Nurse Practitioner (Family)
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-1457

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 Moultrie Center For Adult And Pediatric Healthcare, PC's NPI number?

The NPI number for Moultrie Center For Adult And Pediatric Healthcare, PC is 1477620912. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Moultrie Center For Adult And Pediatric Healthcare, PC located?

Moultrie Center For Adult And Pediatric Healthcare, PC is located at 760 26th Ave SE, Moultrie, GA 31768. The listed phone number is (229) 985-6700.

What is Moultrie Center For Adult And Pediatric Healthcare, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Moultrie Center For Adult And Pediatric Healthcare, PC was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.