Jared Kent Cardwell, MD
Individual provider Active NPI Family Medicine Physician · Moultrie, GA
NPI 1003033135 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1003033135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 075755 (GA)
- Practice address
- 3131 S Main St
Moultrie, GA 31768-6925 - Phone
- (229) 502-9782
- Fax
- (229) 891-9567
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colquitt Regional Hospitalists, LLC
Practice addresses (Care Compare)
3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 502-9782
Hospital & facility affiliations
- Colquitt Regional Medical Center
- Archbold Memorial Hospital
- Turning Point Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160427001406 | GA | Practitioner - Family Practice | 5799843223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075755 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colquitt Regional Medical Center | Current |
Accepting new patients | |
| Colquitt Regional Medical Center | Family Medicine | Current |
Accepting new patients |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Colquitt Regional Pathology, LLC | Current | Accepting new patients | |
| Colquitt Regional Hospitalists, LLC | Hospitalist | Current |
Accepting new patients |
| Kansas Inpatient Services, LLC | Hospitalist | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
Locations
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
Interoperability endpoints
- https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/657e1fae-2721-4373-98ee-a5ae763a6e77/
- jcardwell@crmg.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 075755 | GA | Yes |
| Hospitalist Physician | 208M00000X | 075755 | GA |
Addresses
Primary practice location
3131 S Main St
Moultrie, GA 31768-6925
Mailing address
PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 502-9782
Other providers in Moultrie, GA
- Kimberly Dawn Burton
- Alberta Daniels Butler
- C. Yvonne Cox, PH.D.
- Glinda Marie Cannon
- Cardiac Disease Consultants, LLC
- Jillian Cardwell
- Melissa Cardwell
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Careconnect Health, Inc.
All providers in Moultrie, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.