Margaret Catherine Statom, SLP

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

SLP011713 Issued in GA

Practice address

3100 Veterans Pkwy S
Moultrie, GA 31788-9400

Phone

(229) 890-3553

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1134899024",
    "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": "229-891-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317889400",
            "telephone_number": "229-890-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686925",
            "country_code": "US",
            "telephone_number": "229-890-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATOM",
        "first_name": "MARGARET",
        "middle_name": "CATHERINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "SLP011713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Healthcare Solutions
• Robert O Spruill, MD
• Tracy Dale Stanley, CRNA
• Robert Timothy Stark, MD
• Carroll Curt Starling, MD
• William David Stembridge, D.O.
• Sterling Group Adult and Pediatric Medicine LLC
• Sterling Gynecologic Oncology LLC
• Sterling Internal Medicine, LLC
• Sterling Orthopedics LLC

• Physical Medicine & Rehabilitation Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.