NPI age
19 years
Enumerated 2007-02-28
● Active Type 2 · Organization
Subpart
Colquitt Regional Medical Center
Colquitt Regional Medical Center is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matney
President/ceo
Last NPPES update
2025-05-30
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
15 Hospital Park
Moultrie, GA 317686772
Mailing address
3131 S Main St
Moultrie, GA 317686925
Authorized official
Jim Matney
President/ceo
📞 2299853420
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000408845A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Colquitt Regional Medical Center Dialysis
Practice context
Single-site organization. Only one practice location on file.
Subpart of Colquitt Regional Medical Center.
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