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COLONY MEDICAL ASSOCIATES PC
NPI 1942312319
Specialist in Fitzgerald, GA

Active since August 31, 2006
110 NORMAN DORMINY DR, SUITE B, FITZGERALD, GA 31750(229) 423-2058(229) 423-0197 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colony Medical Associates Pc NPPES

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

COLONY MEDICAL ASSOCIATES PC (NPI 1942312319) is a healthcare organization registered as a specialist in Fitzgerald, Georgia and active in the NPI registry since August 2006. The organization lists Myra D Griffin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942312319
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOLONY MEDICAL ASSOCIATES PC
Location Address110 NORMAN DORMINY DR, SUITE BFitzgerald, GA 31750-8858
Mailing AddressPo Box 929Fitzgerald, GA 31750-0929 · (229) 423-2058 · Fax (229) 423-0197
Phone(229) 423-2058
Fax(229) 423-0197
Organization SubpartNo
Authorized OfficialMyra D GriffinOffice Manager · (229) 423-2058
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1942312319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in GA · 33123✔ Licensed in GA · 056020✔ Licensed in GA · 053043
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN101986 (GA)
110 NORMAN DORMINY DR, Fitzgerald, GA 31750
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Other Identifiers 8

Medicare UPINQ03884GA
Medicaid00427798AGA
Other50BBKJPGA · Medicare
OtherP00232517GA · Railroad Medicare
Other500002323GA · Railroad Medicare
Medicare UPINC72449GA
OtherCB5821GA · Railroad Medicare Group
Medicare ID-Type Unspecified08BDBZBGA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DURDEN MEDICAL CLINIC
Family Medicine
110 NORMAN DORMINY DR, SUITE A
FITZGERALD, GA 31750
Ben Hill County (229) 423-4333
CHARLES HENRY DURDEN MD
Family Medicine
110 NORMAN DORMINY DR, SUITE A
FITZGERALD, GA 31750
Ben Hill County (229) 423-4333
DERRICK W TAYLOR MD
Internal Medicine
110 NORMAN DORMINY DR, SUITE B
FITZGERALD, GA 31750
Ben Hill County (229) 423-2058
PHOEBE DORMINY FAMILY CARE
Clinic/Center
110 NORMAN DORMINY DR
FITZGERALD, GA 31750
Ben Hill County (229) 312-5800

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 Colony Medical Associates PC's NPI number?

The NPI number for Colony Medical Associates PC is 1942312319. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Colony Medical Associates PC located?

Colony Medical Associates PC is located at 110 Norman Dorminy Dr Suite B, Fitzgerald, GA 31750. The listed phone number is (229) 423-2058.

What is Colony Medical Associates PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Colony Medical Associates PC was last updated on January 29, 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.