Moultrie Center for Adult and Pediatric Healthcare, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC

Practice address

760 26TH Ave SE
Moultrie, GA 31768-6799

Phone

(229) 985-6700

Fax

(229) 891-2382

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda R. Smith

Title

Practice Manager

Phone

(229) 985-6700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1477620912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 26TH AVE., SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686799",
            "telephone_number": "229-985-6700",
            "fax_number": "229-891-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 26TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686799",
            "telephone_number": "229-985-6700",
            "fax_number": "229-891-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "229-985-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Mobley
• Rebecca Renee Mobley, APRN
• Nedra N Moore
• Stephen William Moore, DDS
• Anthony M Moser, MD
• Moultrie Healthway, LLC
• Moultrie I Enterprises, LLC
• Moultrie Internal Medicine Associates PC
• Moultrie Orthodontics, P.C.
• Moultrie Orthopedic Clinic, P.C.

• Family Medicine Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.