Individual provider Active NPI

Amber Joy Holt, DO

  • Surgery Physician
  • Moultrie, GA
National Provider Identifier
1255637708
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
072441 Issued in GA
Practice address
4 Live Oak Court
Moultrie, GA 31768-6783
Phone
(229) 985-1080
NPI assigned
Feb 1, 2011
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 072441 GA Primary

Addresses

Primary practice location

4 Live Oak Court
Moultrie, GA 31768-6783

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 785-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140904001480 GA Practitioner - General Surgery 0547488504 Reassigns benefits to 2 organizations
I20250725001058 GA Practitioner - Sleep Medicine 0547488504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Center of Moultrie LLCGroup PAC ID 0345752150, 2 clinicians
Colquitt Regional Surgery, LLCGroup PAC ID 1557589512, 7 clinicians

Practice addresses (Care Compare)

1405 S Main St
Moultrie, GA 31768-5811
Phone (229) 785-2335

4 Live Oak CT
Moultrie, GA 31768-6783
Phone (229) 985-1080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Center of Moultrie, LLC CurrentSince Jul 16, 2025 Accepting new patients
Colquitt Regional Medical Center CurrentSince Jun 16, 2020 Accepting new patients
Colquitt Regional Surgery, LLC Surgery CurrentSince Aug 1, 2014 Accepting new patients
Colquitt Regional Medical Center CurrentSince Jun 16, 2020 Accepting new patients
Colquitt Regional Pathology, LLC Current Accepting new patients
Colquitt Regional Medical Center Current Accepting new patients

Locations

1405 S Main St
Moultrie, GA 31768
Phone (229) 785-2335

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

4 Live Oak Ct
Moultrie, GA 31768
Phone (229) 502-9730

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1255637708",
    "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": "229-785-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIVE OAK COURT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686783",
            "telephone_number": "229-985-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "AMBER",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "072441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.