1. Home
  2. Directory
  3. Georgia
  4. Moultrie
  5. Dermatology
  6. NPI Profile

COLQUITT REGIONAL DERMATOLOGY, LLC
NPI 1649683897
Dermatology in Moultrie, GA

Active since June 05, 2014
760 26TH AVE SE, MOULTRIE, GA 31768(229) 502-9710 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 18, 2019, May 8, 2018 and 1 more (4 updates tracked since 2017).

About Colquitt Regional Dermatology, Llc NPPES

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

COLQUITT REGIONAL DERMATOLOGY, LLC (NPI 1649683897) is a healthcare organization registered as a dermatology in Moultrie, Georgia and active in the NPI registry since June 2014. The organization lists Amanda L Roberts, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649683897
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOLQUITT REGIONAL DERMATOLOGY, LLC
Location Address760 26TH AVE SEMoultrie, GA 31768-6799
Mailing Address760 26th Ave SeMoultrie, GA 31768-6799 · (229) 502-9710
Phone(229) 502-9710
Organization SubpartYesParent: Colquitt Regional Medical, Inc
Authorized OfficialAmanda L RobertsProvider Enrollment Coordinator · (229) 891-9131
Enumeration DateJune 5, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1649683897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
760 26TH AVE SE, Moultrie, GA 31768
Open in Google Maps ↗

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 ›

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
MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC
Family Medicine
760 26TH AVE SE
MOULTRIE, GA 31768
Colquitt County (229) 985-6700
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
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 Colquitt Regional Dermatology, LLC's NPI number?

The NPI number for Colquitt Regional Dermatology, LLC is 1649683897. It was assigned to this organization in the NPPES registry on June 5, 2014.

Where is Colquitt Regional Dermatology, LLC located?

Colquitt Regional Dermatology, LLC is located at 760 26th Ave SE, Moultrie, GA 31768. The listed phone number is (229) 502-9710.

What is Colquitt Regional Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Colquitt Regional Dermatology, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Colquitt Regional Dermatology, LLC 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 Dermatology, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.