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Moultrie Pediatrics, LLC

Pediatrics Physician in Moultrie, GA · enumerated 2007 · authorized official Marion Wills, Owner.

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

National Provider Identifier

1679766299

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Registry record

Entity type Organization (Type 2)
Legal business name Moultrie Pediatrics, LLC
Other name <Unavail>
Practice address 1 Sweet Bay Ct, Suite A, Moultrie, GA, 31768
Phone (229) 985-1293
Fax (229) 891-2123
Enumeration date Aug 27, 2007
Last updated in NPPES Oct 27, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marion Wills
Title Owner
Phone (229) 985-1293

Other identifiers

Identifier Type State Issuer
3083 Other GA PEACHSTATE
396284 Other GA WELLCARE
300035718A 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 2011-10-27. Verify at npiregistry.cms.hhs.gov.
Where is Moultrie Pediatrics, LLC located?
The practice location on file with NPPES is in Moultrie, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-27.