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MOULTRIE UROLOGY ASC
NPI 1700089695
Clinic/Center - Ambulatory Surgical in Moultrie, GA

Active since June 07, 2007
2 HOSPITAL PARK, MOULTRIE, GA 31768(229) 985-3066(229) 890-2092 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moultrie Urology Asc NPPES

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

MOULTRIE UROLOGY ASC (NPI 1700089695) is a healthcare organization registered as an ambulatory surgical in Moultrie, Georgia and active in the NPI registry since June 2007. The organization lists Maha Kassis Baddour, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700089695
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMOULTRIE UROLOGY ASC
Location Address2 HOSPITAL PARKMoultrie, GA 31768-6700
Mailing Address2 Hospital ParkMoultrie, GA 31768-6700 · (229) 985-3066 · Fax (229) 890-2092
Phone(229) 985-3066
Fax(229) 890-2092
Organization SubpartNo
Authorized OfficialMaha Kassis BaddourOffice Manager · (229) 985-3066
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 8, 2010
✔ NPI 1700089695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 035-219
2 HOSPITAL PARK, Moultrie, GA 31768
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Other Identifiers 2

Medicare PIN111190ASCBGA
Medicaid00919619AGA

Other Providers at the Same Location NPPES 2

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

STERLING PODIATRY LLC
Podiatrist
2 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9131
MOULTRIE UROLOGICAL CLINIC, INC
Specialist
2 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3066

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 Urology ASC's NPI number?

The NPI number for Moultrie Urology ASC is 1700089695. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Moultrie Urology ASC located?

Moultrie Urology ASC is located at 2 Hospital Park, Moultrie, GA 31768. The listed phone number is (229) 985-3066.

What is Moultrie Urology ASC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Moultrie Urology ASC was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.