Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Moultrie Urology Asc

Ambulatory Surgical Clinic/Center in Moultrie, GA · enumerated 2007 · authorized official Maha Baddour, Office Manager.

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

National Provider Identifier

1700089695

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Registry record

Entity type Organization (Type 2)

Legal business name Moultrie Urology Asc

Practice address 2 Hospital Park, Moultrie, GA, 31768

Phone (229) 985-3066

Fax (229) 890-2092

Enumeration date Jun 7, 2007

Last updated in NPPES Jan 8, 2010

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 035-219 (GA) Primary

Authorized official

Name Maha Baddour

Title Office Manager

Phone (229) 985-3066

Other identifiers

Identifier	Type	State	Issuer
00919619A	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 2010-01-08. Verify at npiregistry.cms.hhs.gov.

Where is Moultrie Urology Asc 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 2010-01-08.