Active NPI
Leo Enrique Larios, DO
- Family Medicine Physician
- Moultrie, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99713
- Practice address
- 1 Magnolia CT
Moultrie, GA 31768-6764 - Phone
- (229) 502-9769
- NPI assigned
- Mar 24, 2021
- Last updated
- Dec 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 99713 | GA | Primary |
Addresses
Primary practice location
1 Magnolia CT
Moultrie, GA 31768-6764
Mailing address
1 Magnolia CT
Moultrie, GA 31768-6764
Phone (229) 502-9753
Other practice location 1
1201 W Peachtree St NW Ste 2300
Atlanta, GA 30309-3453
Phone (904) 586-1964
Other practice location 2
200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (229) 424-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (229) 424-7100
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
260 MJ Taylor Rd
Adel, GA 31620-3485
Phone (229) 896-8159
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| DMC Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Southland Consolidated Emergency Services, LLC | Current | Accepting new patients | |
| Southland Cochran Emergency Medical Services, LLC | Current | Accepting new patients | |
| Southland Bainbridge Hospitalist Group, LLC | Current | Accepting new patients | |
| Southland Emergency Medical Services, L.L.C | Current | Accepting new patients | |
| Tift Regional Health System Inc | Family Medicine | Current | Accepting new patients |
| DMC Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Pcos Sisters Telehealth Clinic & Wellness Center, LLC | Family Medicine | Past | Accepting new patients |
| Hospital Authority of Ben Hill | Past | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
182 Perry House Rd
Ste H
Fitzgerald, GA 31750
Phone (229) 423-9561
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
Organizations & group practices 12
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.
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Hospitalist Physician
- Bainbridge, GA
- NPI 1356735336
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1477701472
-
dba DMC Primary Care
- Rural Health Clinic/Center
- Fitzgerald, GA
- NPI 1922672120
Family Medicine
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
dba Dorminy Medical Center
- Critical Access Hospital
- Fitzgerald, GA
- NPI 1245248624
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1235921412
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dorminy Medical Center
- Critical Access Hospital
- Fitzgerald, GA
- NPI 1245248624
-
dba Cook Senior Living Center
- Skilled Nursing Facility
- Adel, GA
- NPI 1134215452
Nursing home
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
dba Southwell Medical
- General Acute Care Hospital
- Adel, GA
- NPI 1568410264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1154907517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAGNOLIA CT",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686764",
"telephone_number": "229-502-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAGNOLIA CT",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686764",
"telephone_number": "229-502-9769"
}
],
"practiceLocations": [
{
"address_1": "1201 W Peachtree St NW Ste 2300",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303093453",
"country_code": "US",
"telephone_number": "904-586-1964",
"fax_number": "888-597-2357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Perry House Rd",
"address_purpose": "LOCATION",
"city": "Fitzgerald",
"state": "GA",
"postal_code": "317508857",
"country_code": "US",
"telephone_number": "229-424-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARIOS",
"first_name": "LEO",
"middle_name": "ENRIQUE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "99713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.