Colquitt Pathology PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

046462 Issued in GA

Legal business name

COLQUITT PATHOLOGY PC

Practice address

304 Sunset Cir Ste C
Moultrie, GA 31768-6930

Phone

(229) 985-5675

Fax

(229) 985-5675

NPI assigned

Jan 29, 2009

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony M Moser, M.D.NPI 1063520179

Title

President

Phone

(229) 985-5675

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony M Moser, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Moultrie, GA
  • NPI 1063520179
  Authorized official Same address or phone
• Cory Porteus, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Moultrie, GA
  • NPI 1750709325
  NPD

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1316185382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SUNSET CIR STE C",
            "address_2": "P O BOX 2047",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762047",
            "telephone_number": "229-985-5675",
            "fax_number": "229-985-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SUNSET CIR STE C",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686930",
            "telephone_number": "229-985-5675",
            "fax_number": "229-985-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLQUITT PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-985-5675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "046462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colquitt County Hospital Authority
• Colquitt County Hospital Authority (Colquitt Regional Medical Center Home IV)
• Colquitt Emergency Group LLC
• Colquitt Family Care, Inc.
• Colquitt Optical House
• Colquitt Regional Anesthesia, LLC
• Colquitt Regional Cardiology, LLC
• Colquitt Regional Dermatology, LLC
• Colquitt Regional Ear Nose & Throat (Sterling Group Ear, Nose & Throat)
• Colquitt Regional Emergency Physicians, LLC

• Anatomic Pathology & Clinical Pathology Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.