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NPI 1225358294
● Active Type 2 · Organization
Colquitt Regional Gastroenterology, Llc
Internal Medicine · Moultrie, GA · NPI 1225358294
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Enumerated 2010 · 15 years on NPI
Colquitt Regional Gastroenterology, Llc is 1 of 643 internal medicine organizations in Georgia.
NPI age
15 years
Enumerated 2010-06-01
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matney
Ceo
Last NPPES update
2025-09-04
Source: monthly bulk 2026-05
How this organization compares
Across 643 active internal medicine providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-06 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
4 Live Oak Ct
Moultrie, GA 317686783
📞 2297852400
Mailing address
Po Box 2876
Moultrie, GA 317762876
📞 2297858068 fax 2295131461
Authorized official
James L Matney
Ceo
📞 2299853420
Individual providers at this organization
13 individual providers on file at this primary practice address.
Tracey Bastiaans , DO
Plastic Surgery
NPI 1952749582
Michael Dawson , M.D.
Internal Medicine
NPI 1134153711
Stephanie Diers , NP
Nurse Practitioner
NPI 1700376910
Phyllis Hughes , NP
Nurse Practitioner
NPI 1053763227
Kelli Kennedy , FNP
Nurse Practitioner
NPI 1710567854
Misty McGough , FNP
Nurse Practitioner
NPI 1942884275
Meagan McKinnon , PA-C
Physician Assistant
NPI 1285916437
Morgan Ramsey , PA
Physician Assistant
NPI 1114505674
Jordan Rentz , FNP
Nurse Practitioner
NPI 1780274050
Don Roberts , MD
Internal Medicine
NPI 1780755918
Dresden Soderstrom , MD
Surgery
NPI 1083148084
William Stembridge , D.O.
Surgery
NPI 1801159876
W Wilfong , M.D.
Urology
NPI 1760518773
Specialties
Internal Medicine
Primary
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
taxonomy 207RG0100X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
13 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.