NPI age
18 years
Enumerated 2007-07-03
● Active
Type 1 · Individual
DR. Betty Vassiliki Koukis, M.D
Koukis is 1 of 8 obstetrics & gynecology providers in Moultrie and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
1405 S Main St
Moultrie, GA 317685811
Mailing address
104 Medical Dr
Dothan, AL 363036902
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003110693A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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