Abigail Lea Ard

Individual provider Active NPI Physician Assistant · Moultrie, GA

NPI 1013761212 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1013761212
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
2957 Old Doerun Rd
Moultrie, GA 31768-2366
Phone
(229) 669-5325
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

2957 Old Doerun Rd
Moultrie, GA 31768-2366

Mailing address

2957 Old Doerun Rd
Moultrie, GA 31768-2366
Phone (229) 669-5325

Other providers in Moultrie, GA

All providers in Moultrie, GA · Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.