Active NPI
Moultrie Orthopedic Clinic, P.C.
- Orthopaedic Surgery Physician
- Moultrie, GA
National Provider Identifier
1730495128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MOULTRIE ORTHOPEDIC CLINIC, P.C.
- Practice address
- 316 Sunset Cir
Moultrie, GA 31768-6924 - Phone
- (229) 985-6377
- Fax
- (229) 890-9459
- NPI assigned
- Aug 24, 2010
- Organization subpart
- Yes
- Parent organization
- MOULTRIE ORTHOPEDICI CLINIC, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. D. Quillian Harris III, MD
- Title
- Owner
- Phone
- (229) 985-6377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
316 Sunset Cir
Moultrie, GA 31768-6924
Mailing address
316 Sunset Cir
Moultrie, GA 31768-6924
Phone (229) 985-6377
National Provider Directory
National Provider Directory- Part of
- Moultrie Orthopedic Cli
Locations
316 Sunset Cir
Moultrie, GA 31768
Phone (229) 985-6377
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Moultrie, GA
- NPI 1134233679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282608000000",
"number": "1730495128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 SUNSET CIR",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686924",
"telephone_number": "229-985-6377",
"fax_number": "229-890-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 SUNSET CIR",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686924",
"telephone_number": "229-985-6377",
"fax_number": "229-890-9459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOULTRIE ORTHOPEDIC CLINIC, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOULTRIE ORTHOPEDICI CLINIC, P.C.",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "D.",
"authorized_official_middle_name": "QUILLIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-985-6377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
- Moultrie Center for Adult and Pediatric Healthcare, PC
- Moultrie Healthway, LLC
- Moultrie I Enterprises, LLC (Park Regency of Moultrie)
- Moultrie Internal Medicine Associates PC
- Moultrie Orthodontics, P.C.
- Moultrie Pediatrics, LLC (Children's Medical Group of SW GA)
- Moultrie Urological Clinic, Inc
- Moultrie Urology ASC
- Mrs Homecare, Inc. (Mrs of Moultrie)
- Mukul Khurana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.