NPIMap

Individual provider Active NPI

Erick Myrtil, MD

  • Family Medicine Physician
  • Moultrie, GA
National Provider Identifier
1255760757
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
078853 Issued in GA
Practice address
3131 S Main St
Moultrie, GA 31768-6925
Phone
(229) 502-9782
Fax
(229) 891-9567
NPI assigned
Nov 5, 2013
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 078853 GA
Family Medicine Physician 207Q00000X 078853 GA Primary

Addresses

Primary practice location

3131 S Main St
Moultrie, GA 31768-6925

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 502-9782

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
I20170927002285 GA Practitioner - Family PracticePractitioner - Hospitalist 8022382225 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DMC Physician Group LLCGroup PAC ID 8628296845, 20 clinicians
Colquitt Regional Hospitalists, LLCGroup PAC ID 0749568780, 28 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians

Practice addresses (Care Compare)

200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (229) 424-7100

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 502-9782

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DMC Physician Group LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Colquitt Regional Medical Center CurrentSince Jul 1, 2018 Accepting new patients
Colquitt Regional Hospitalists, LLC Hospitalist CurrentSince Sep 1, 2017 Accepting new patients
Colquitt Regional Medical Center Current Accepting new patients
DMC Physician Group LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Colquitt Regional Pathology, LLC Current Accepting new patients
Colquitt Regional Medical Center Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Hospital Authority of Ben Hill Past Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

182 Perry House Rd
Ste H
Fitzgerald, GA 31750
Phone (229) 423-9561

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

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

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

Organizations & group practices 10

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 6

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1255760757",
    "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": "229-502-9782",
            "fax_number": "229-891-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686925",
            "telephone_number": "229-502-9782",
            "fax_number": "229-891-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRTIL",
        "first_name": "ERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "078853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "078853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.