CHILDREN'S MEDICAL GROUP OF SW GA
NPI 1679766299
Pediatrics in Moultrie, GA

Q: What is Moultrie Pediatrics, LLC's NPI number?

The NPI number for Moultrie Pediatrics, LLC is 1679766299. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is doing business as Children's Medical Group Of SW Ga.

Q: What is Moultrie Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 27, 2007

1 SWEET BAY CT, SUITE A, MOULTRIE, GA 31768(229) 985-1293(229) 891-2123 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Medical Group Of Sw Ga NPPES

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

CHILDREN'S MEDICAL GROUP OF SW GA (NPI 1679766299) is a healthcare organization registered as a pediatrics in Moultrie, Georgia and active in the NPI registry since August 2007. The organization lists Marion A Wills, Owner, as its authorized official.

NPPES Registry Identity

NPI1679766299

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMOULTRIE PEDIATRICS, LLC

Location Address1 SWEET BAY CT, SUITE AMoultrie, GA 31768-6756

Mailing AddressPo Box 129Moultrie, GA 31776-0129 · (229) 985-1293 · Fax (229) 891-2123

Phone(229) 985-1293

Fax(229) 891-2123

Organization SubpartNo

Authorized OfficialMarion A WillsOwner · (229) 985-1293

Enumeration DateAugust 27, 2007

Last NPPES UpdateOctober 27, 2011

✔ NPI 1679766299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 SWEET BAY CT, Moultrie, GA 31768

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Other Names 1

Doing Business AsChildren's Medical Group Of Sw Ga

Other Identifiers 3

Other396284GA · Wellcare

Other3083GA · Peachstate

Medicaid300035718AGA

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 5

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

COLQUITT REGIONAL PEDIATRICS, LLC

Pediatrics