NPIMap

Individual provider Active NPI

Gary Wade Swartzentruber, MD

  • Family Medicine Physician
  • Moultrie, GA
National Provider Identifier
1083937908
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63965 Issued in GA
Practice address
8 Laurel CT
Moultrie, GA 31768-6889
Phone
(229) 891-9016
NPI assigned
Mar 5, 2010
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63965 GA Primary

Addresses

Primary practice location

8 Laurel CT
Moultrie, GA 31768-6889

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 891-9016

Other practice location 1

2709 S Main St
Moultrie, GA 31768-6906
Phone (229) 891-9016

Other practice location 2

233 Sunset Cir
Moultrie, GA 31768-6926
Phone (229) 891-9016

Other practice location 3

139 E Broad
Norman Park, GA 31771-5085
Phone (229) 769-3500

Other practice location 4

101 Cobblestone Trce SE
Moultrie, GA 31788
Phone (229) 891-9016

Other practice location 5

3003 Veterans Pkwy S
Moultrie, GA 31788-6705
Phone (229) 891-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000832 GA Practitioner - Family Practice 7719016575 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swartzentruber Medical Services LLCGroup PAC ID 9537458815, 5 clinicians
The Kirk Clinic LLCGroup PAC ID 7517068075, 7 clinicians
Norman Park Family Medicine Clinic LLCGroup PAC ID 4082833546, 4 clinicians

Practice addresses (Care Compare)

440 Paul Murphy Rd
Moultrie, GA 31768-0428
Phone (229) 891-5308

8 Laurel CT
Moultrie, GA 31768-6889
Phone (229) 891-9016

PO Box
Suite 110
Norman Park, GA 31771

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63965GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Kirk Clinic LLC CurrentSince Jul 1, 2011 Accepting new patients
Turning Point Care Center LLC CurrentSince Sep 28, 2013 Accepting new patients
Swartzentruber Medical Services LLC Family Medicine CurrentSince Mar 5, 2016 Accepting new patients
Phoebe Neurology CurrentSince Mar 4, 2010 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Mar 4, 2010 Accepting new patients
Norman Park Family Medicine Clinic LLC CurrentSince Jan 1, 2017 Accepting new patients
Turning Point Care Center LLC CurrentSince Sep 28, 2013 Accepting new patients
Colquitt Regional Medical Center CurrentSince Jul 1, 2018 Accepting new patients
Colquitt Regional Medical Center Current Accepting new patients
Colquitt Regional Pathology, LLC Current Accepting new patients
Colquitt Regional Medical Center Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Colquitt Regional Medical Center Past Accepting new patients
Colquitt Regional OB/GYN, LLC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

101 Cobblestone Trce SE
Moultrie, GA 31788
Phone (229) 891-9016

233 Sunset Cir
Moultrie, GA 31768
Phone (229) 891-9016

2709 S Main St
Moultrie, GA 31768
Phone (229) 891-9016

3003 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 891-9016

3015 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 873-6479

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

8 Laurel Ct
Moultrie, GA 31768
Phone (229) 890-9016

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Colquitt Regional Senior Care & RehabilitationMoultrie, GA, CCN 115667 Skilled nursing facility Corporate Officer
Adp of the SNF		 Mar 1, 2022
Apr 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1083937908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREL CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686889",
            "telephone_number": "229-891-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686906",
            "country_code": "US",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Sunset Cir",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686926",
            "country_code": "US",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 E Broad",
            "address_purpose": "LOCATION",
            "city": "Norman Park",
            "state": "GA",
            "postal_code": "317715085",
            "country_code": "US",
            "telephone_number": "229-769-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cobblestone Trce SE",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "31788",
            "country_code": "US",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Veterans Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317886705",
            "country_code": "US",
            "telephone_number": "229-891-9016",
            "fax_number": "229-891-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWARTZENTRUBER",
        "first_name": "GARY",
        "middle_name": "WADE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.