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MOULTRIE INTERNAL MEDICINE ASSOCIATES PC
NPI 1982744082
Internal Medicine in Moultrie, GA

Active since February 07, 2007CLIA 11D0266165 · Waiver
320 SUNSET CIR, MOULTRIE, GA 31768(229) 985-5200 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, Apr 26, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Moultrie Internal Medicine Associates Pc NPPES

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

MOULTRIE INTERNAL MEDICINE ASSOCIATES PC (NPI 1982744082) is a healthcare organization registered as an internal medicine in Moultrie, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Debra Lamon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982744082
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOULTRIE INTERNAL MEDICINE ASSOCIATES PC
Location Address320 SUNSET CIRMoultrie, GA 31768-6924
Mailing Address320 Sunset CirMoultrie, GA 31768-6924 · (229) 985-5200
Phone(229) 985-5200
Organization SubpartNo
Authorized OfficialDebra LamonOffice Manager · (229) 985-5200
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1982744082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 21172
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
320 SUNSET CIR, Moultrie, GA 31768
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Other Identifiers 1

Medicaid00220349CGA

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

CLIA Laboratory Certificates CMS CLIA

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 11D0266165

Moultrie Internal Medical Associates · Moultrie, GA
Active · expires Aug 31, 2026
CLIA Number11D0266165
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJames C. Lamon
Laboratory Phone(912) 985-5200
Laboratory LocationMoultrie Internal Medical Associates320 Sunset Circle, Moultrie, GA 31768
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine Associates PC's NPI number?

The NPI number for Moultrie Internal Medicine Associates PC is 1982744082. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Moultrie Internal Medicine Associates PC located?

Moultrie Internal Medicine Associates PC is located at 320 Sunset Cir, Moultrie, GA 31768. The listed phone number is (229) 985-5200.

What is Moultrie Internal Medicine Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Moultrie Internal Medicine Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0266165) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moultrie Internal Medicine Associates PC was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.