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COLQUITT COUNTY EMS
NPI 1720593239
Ambulance - Land Transport in Moultrie, GA

Active since December 06, 2017CLIA Certified · 2 labs
3131 S MAIN ST, MOULTRIE, GA 31768(229) 891-9277(229) 502-9645 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Colquitt County Ems NPPES

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

COLQUITT COUNTY EMS (NPI 1720593239) is a healthcare organization registered as a land transport in Moultrie, Georgia and active in the NPI registry since December 2017. The organization holds 2 active CLIA laboratory certificates and lists Greg Johnson, Coo, as its authorized official.

NPPES Registry Identity

NPI1720593239
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOLQUITT REGIONAL MEDICAL CENTER
Location Address3131 S MAIN STMoultrie, GA 31768-6925
Mailing AddressPo Box 2172Moultrie, GA 31776-2172 · (229) 891-9277 · Fax (229) 502-9645
Phone(229) 891-9277
Fax(229) 502-9645
Organization SubpartYes
Authorized OfficialGreg JohnsonCoo · (229) 985-3420
Enumeration DateDecember 6, 2017
✔ NPI 1720593239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
3131 S MAIN ST, Moultrie, GA 31768
Open in Google Maps ↗

Other Names 1

Doing Business AsColquitt County Ems

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2199858

Colquitt County Ems · Moultrie, GA
Active · expires Nov 11, 2026
CLIA Number11D2199858
Laboratory TypeAmbulance
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorAmy F. Williams
Laboratory Phone(229) 891-9277
Laboratory LocationColquitt County Ems3131 South Main Street, Moultrie, GA 31768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2277986

Colquitt Regional Community Paramedicine · Moultrie, GA
Active · expires Mar 8, 2027
CLIA Number11D2277986
Laboratory TypeMedical First Responder
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorAmy Williams
Laboratory Phone(229) 891-9277
Laboratory LocationColquitt Regional Community Paramedicine3131 South Main Street, Moultrie, GA 31768
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JARED KENT CARDWELL MD
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
NOMAN AHMED MALIK M.D.
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 890-3500
RADIOLOGY ASSOCIATES OF MOULTRIE
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-8802
GEORGE ANTHONY SHEFFIELD JR. PT
Physical Therapist
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
WOODWIN MICHAEL WEEKS DO
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
DR. TRE'CHERIE ARACHAEL CRUMBS MD
Internal Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
MAILYN CRUZ
Student in an Organized Health Care Education/Training Program
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
ANTHONY M MOSER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-7977

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 Medical Center's NPI number?

The NPI number for Colquitt Regional Medical Center is 1720593239. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider is doing business as Colquitt County Ems.

Where is Colquitt Regional Medical Center located?

Colquitt Regional Medical Center is located at 3131 S Main St, Moultrie, GA 31768. The listed phone number is (229) 891-9277.

What is Colquitt Regional Medical Center's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Colquitt Regional Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Colquitt Regional Medical Center was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.