COLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC
NPI 1902211642
Emergency Medicine in Moultrie, GA

Active since June 20, 2014
3131 S MAIN ST, MOULTRIE, GA 31768(229) 336-4621 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colquitt Regional Emergency Physicians, Llc NPPES

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

COLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC (NPI 1902211642) is a healthcare organization registered as an emergency medicine in Moultrie, Georgia and active in the NPI registry since June 2014. The organization lists Shamb Purohit, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902211642
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCOLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC
Location Address3131 S MAIN STMoultrie, GA 31768-6925
Mailing AddressPo Box 3697, 3131 S. Main StMoultrie, GA 31776-3697 · (800) 579-7777
Organization SubpartNo
Authorized OfficialShamb PurohitCfo · (229) 502-9703
Enumeration DateJune 20, 2014
✔ NPI 1902211642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3131 S MAIN ST, Moultrie, GA 31768

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colquitt Regional Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Colquitt Regional Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine12
Nurse Practitioner6
Family Practice3
Internal Medicine1

Nearest to this location (20)

See all 22
Emergency Medicine
NPI 1306080759
3131 S MAIN ST EMERGENCY DEPARTMENT
Moultrie, GA 31768
(850) 391-1752
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255323564
3131 S MAIN ST
Moultrie, GA 31768
(229) 985-3420
✔ PECOSSame address
Nurse Practitioner
NPI 1932464864
3131 S MAIN ST
Moultrie, GA 31768
(229) 985-3420
✔ PECOSSame address
Nurse Practitioner
NPI 1407331143
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3479
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1831107234
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1043700081
EMERGENCY MEDICINE DEPARTMENT 3131 S. MAIN ST.
Moutrie, GA 31738
(229) 890-3479
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1740531516
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS29 mi
Emergency Medicine
NPI 1881612067
3769 BEAR LAKE RD
Valdosta, GA 31601
(706) 244-6888
✔ PECOS✔ Accepts Medicare32 mi
Internal Medicine
NPI 1205804622
3386 GREYSTONE WAY
Valdosta, GA 31605
(229) 219-7407
✔ PECOS33 mi
Nurse Practitioner
NPI 1730308883
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1932464542
110 NORMAN DORMINY DR STE A
Fitzgerald, GA 31750
(229) 409-0874
✔ PECOS50 mi
Emergency Medicine
NPI 1043205669
1309 THOMASVILLE ROAD PHYSICIAN BILLING OFFICE
Tallahassee, FL 32303
(850) 431-7289
✔ PECOS55 mi
Emergency Medicine
NPI 1194959916
655 W. EIGHTH ST. BOX C506 CLINICAL CENTER, 1ST FLOOR
Jacksonville, FL 32209
(904) 244-3837
✔ PECOS137 mi
Nurse Practitioner
NPI 1235292350
1480 S HIGHWAY 27
Carrollton, GA 30117
(770) 836-9445
✔ PECOS✔ Accepts Medicare187 mi
Emergency Medicine
NPI 1346478542
1120 15TH ST
Augusta, GA 30912
(706) 721-0211
✔ PECOS193 mi
Family Practice
NPI 1235158833
5505 ROSWELL RD
Atlanta, GA 30342
(904) 234-5425
✔ PECOS✔ Accepts Medicare195 mi
Emergency Medicine
NPI 1548554124
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(678) 312-3356
✔ PECOS196 mi
Emergency Medicine
NPI 1326497447
14 MEDICAL PARK STE 350 EMERGENCY MEDICINE DEPARTMENT
Columbia, SC 29203
(803) 434-3790
✔ PECOS✔ Accepts Medicare256 mi
Emergency Medicine
NPI 1780325571
16001 W 9 MILE RD STE 401
Southfield, MI 48075
(248) 849-5664
✔ PECOS✔ Accepts Medicare782 mi
Emergency Medicine
NPI 1043505977
5501 OLD YORK RD KORMAN B9
Philadelphia, PA 19141
(215) 456-6336
✔ PECOS✔ Accepts Medicare783 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emergency Physicians, LLC's NPI number?

The NPI number for Colquitt Regional Emergency Physicians, LLC is 1902211642. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Colquitt Regional Emergency Physicians, LLC located?

Colquitt Regional Emergency Physicians, LLC is located at 3131 S Main St, Moultrie, GA 31768. The listed phone number is (229) 336-4621.

What is Colquitt Regional Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Colquitt Regional Emergency Physicians, LLC enrolled in Medicare?

Yes. Colquitt Regional Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colquitt Regional Emergency Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Colquitt Regional Emergency Physicians, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (12), Nurse Practitioner (6) and Family Practice (3). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Colquitt Regional Emergency Physicians, 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 Emergency Physicians, 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 Emergency Physicians, LLC was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.