Individual provider Active NPI

Ronald Edward Trescot, MD

  • Obstetrics & Gynecology Physician
  • Moultrie, GA
National Provider Identifier
1639163371
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
041233 Issued in GA
Practice address
1 Magnolia CT
Moultrie, GA 31768-6771
Phone
(229) 985-2198
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 041233 GA Primary

Addresses

Primary practice location

1 Magnolia CT
Moultrie, GA 31768-6771

Mailing address

PO Box 3233
Moultrie, GA 31768-6771
Phone (229) 985-2198

Other identifiers 6

IdentifierTypeStateIssuer
160054545OtherRAILROAD MEDICARE
30020595OtherKEYSTONE MERCY HEALTHPLAN
52754585002OtherSTATE MERIT
52754585002OtherBLUE CROSS BLUE SHIELD
0700884OtherUNITED HEALTHCARE
00852992BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041233GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald E Trescot MD PC Obstetrics & Gynecology CurrentSince Sep 1, 2000 Accepting new patients
Colquitt Regional Surgery, LLC Past Accepting new patients

Locations

115 31st Ave SE
Moultrie, GA 31768
Phone (229) 502-1020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1639163371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3233",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686771",
            "telephone_number": "229-985-2198",
            "fax_number": "229-891-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAGNOLIA CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686771",
            "telephone_number": "229-985-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESCOT",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "041233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160054545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTHPLAN",
            "identifier": "30020595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MERIT",
            "identifier": "52754585002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52754585002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0700884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00852992B",
            "state": "GA"
        }
    ],
    "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 Feb 6, 2018; 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.