NPI age
11 years
Enumerated 2014-06-05
● Active Type 2 · Organization
Subpart
Colquitt Regional Dermatology, Llc
Colquitt Regional Dermatology, Llc is 1 of 483 dermatology organizations in Georgia.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Provider Enrollment Coordinator
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
760 26th Ave Se
Moultrie, GA 317686799
Mailing address
760 26th Ave Se
Moultrie, GA 317686799
Authorized official
Amanda L Roberts
Provider Enrollment Coordinator
📞 2298919131
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Kaley Adams, PNP Nurse Practitioner NPI 1629614060
- Romana Bairan, M.D. Pediatrics NPI 1346202835
- Barbara Ebert, MD Dermatology NPI 1558319301
- Buford Edwards, M.D. Pediatrics NPI 1326001686
- Sandra Martin, FNP-BC Nurse Practitioner NPI 1154826410
- Kent Posey, MD Psychiatry & Neurology NPI 1689802258
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Colquitt Regional Medical, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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