Colquitt Regional Medical Center

A Medicare group practice based in Moultrie, GA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 6204821796), with 78 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204821796The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Suppl
Enrolled in
GA
Enrollments
10
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 1 place

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20040415000368 GA Part B Supplier - Clinic/Group Practice 1912099094
O20080329000094 GA Part A Provider - Hospital 1912099094
O20220404000989 GA Part A Provider - Skilled Nursing Facility 1629723887
O20090828000451 GA Part A Provider - Rural Health Clinic 1881758753
O20091022000562 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1124155965
O20111103000372 GA Part A Provider - Hospice 1316154834
O20120419000373 GA Part A Provider - Hospital 1720359326
O20180615001542 GA Part B Supplier - Ambulance Service Supplier 1720593239
O20251113004172 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1770371429
O20230127001726 GA Part A Provider - Hospital 1982295036

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 78

Clinicians who reassign their Medicare benefits to this group (77) or whom Care Compare lists as members (20).

Sources for this page