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Colquitt Regional Medical Center

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moultrie, GA · enumerated 2007 · authorized official Jim Matney, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124155965

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Registry record

Entity type Organization (Type 2)
Legal business name Colquitt Regional Medical Center
Other name <Unavail>
Parent organization Colquitt Regional Medical Center
Practice address 15 Hospital Park, Moultrie, GA, 31768
Phone (229) 891-9333
Enumeration date Feb 28, 2007
Last updated in NPPES May 30, 2025

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 035296 (GA) Primary

Authorized official

Name Jim Matney
Title President/Ceo
Phone (229) 985-3420

Other identifiers

Identifier Type State Issuer
000408845A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-30. Verify at npiregistry.cms.hhs.gov.
Where is Colquitt Regional Medical Center located?
The practice location on file with NPPES is in Moultrie, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-30.