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COLQUITT REGIONAL MEDICAL CENTER
NPI 1962850396
Family Medicine in Moultrie, GA

Active since May 26, 2016
3131 S MAIN ST, MOULTRIE, GA 31768(229) 502-9769(229) 985-3751 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Jun 28, 2018 (2 updates tracked since 2018).

About Colquitt Regional Medical Center NPPES

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

COLQUITT REGIONAL MEDICAL CENTER (NPI 1962850396), doing business as Ga South Family Medicine Residency Program, is a healthcare organization registered as a family medicine in Moultrie, Georgia and active in the NPI registry since May 2016. The organization lists James L Matney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962850396
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLQUITT REGIONAL MEDICAL CENTER
Location Address3131 S MAIN STMoultrie, GA 31768-6925
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 891-9131
Phone(229) 502-9769
Fax(229) 985-3751
Organization SubpartNo
Authorized OfficialJames L MatneyCeo · (229) 985-3420
Enumeration DateMay 26, 2016
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1962850396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3131 S MAIN ST, Moultrie, GA 31768
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Other Names 2

Doing Business AsGa South Family Medicine Residency Program
Doing Business AsGeorgia South Family Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Colquitt Regional Medical Center, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Family Practice22
Internal Medicine9
Nurse Practitioner9
General Surgery5
Orthopedic Surgery4
Psychiatry4
Emergency Medicine3
Hospitalist3
12 other specialties15

Nearest to this location (20)

See all 74
Anthony Adetomiwa, MD
Pediatric Medicine
NPI 1902469752
3131 S MAIN ST
Moultrie, GA 31768
(229) 891-9131
✔ PECOSSame address
Kayla Batchelor, DO
Family Practice
NPI 1760968267
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9769
✔ PECOS✔ Accepts MedicareSame address
Joseph Beavers, MD
Family Practice
NPI 1205199437
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Catherine Brown, MD
Internal Medicine
NPI 1679696595
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Jared Cardwell, MD
Family Practice
NPI 1003033135
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Melissa Cardwell, DO
Family Practice
NPI 1528226297
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9769
✔ PECOS✔ Accepts MedicareSame address
Heather Champion, NP
Nurse Practitioner
NPI 1356682447
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Margarett Ellison, M.D.
Gynecological Oncology
NPI 1871591297
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3514
✔ PECOS✔ Accepts MedicareSame address
Thomas Estes, M.D.,F.A.C.S.
General Surgery
NPI 1649246166
3131 S MAIN ST
Moultrie, GA 31768
(229) 985-3420
✔ PECOS✔ Accepts MedicareSame address
Jonathan Fairley, MD
Hospitalist
NPI 1174866503
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Matthew Graham, MD
Internal Medicine
NPI 1316385784
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Kerri Holloway Cox, FNP-C
Nurse Practitioner
NPI 1396216123
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3514
✔ PECOS✔ Accepts MedicareSame address
Tamara Johnson, MD
Internal Medicine
NPI 1952792392
3131 S MAIN ST
Moultrie, GA 31768
(201) 249-7812
✔ PECOS✔ Accepts MedicareSame address
Michael Kelley, MD
Hospitalist
NPI 1104984871
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Brett Krummert, MD
Hospitalist
NPI 1285807834
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Parker Lambert, APRN, FNP-C
Nurse Practitioner
NPI 1366015422
3131 S MAIN ST
Moultrie, GA 31768
(229) 502-9782
✔ PECOS✔ Accepts MedicareSame address
Randall Mcgill, M.D.
Diagnostic Radiology
NPI 1932428455
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3500
✔ PECOS✔ Accepts MedicareSame address
Cory Porteus, DO
Pathology
NPI 1750709325
3131 S MAIN ST
Moultrie, GA 31768
(229) 985-3420
✔ PECOS✔ Accepts MedicareSame address
Derrick Railey, FNP, AGACNP
Nurse Practitioner
NPI 1891237814
3131 S MAIN ST
Moultrie, GA 31768
(229) 891-9021
✔ PECOS✔ Accepts MedicareSame address
Wenhui Zhu, MD
Hematology/Oncology
NPI 1306022066
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3514
✔ PECOS✔ Accepts MedicareSame address
See all 74 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 Medical Center's NPI number?

The NPI number for Colquitt Regional Medical Center is 1962850396. It was assigned to this organization in the NPPES registry on May 26, 2016. The provider is doing business as GA South Family Medicine Residency Program and Georgia South Family Medicine.

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) 502-9769.

What is Colquitt Regional Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Colquitt Regional Medical Center enrolled in Medicare?

Yes. Colquitt Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colquitt Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 20 Medicare specialties reassign their Medicare billing to Colquitt Regional Medical Center. 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 Family Practice (22), Internal Medicine (9) and Nurse Practitioner (9). Of these, 29 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Colquitt Regional Medical Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Colquitt Regional Medical Center 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 Medical Center was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.