Organization Active NPI

Moultrie Orthopedic Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Moultrie, GA
National Provider Identifier
1730495128
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. D. Quillian Harris III, MDNPI 1134233679
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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

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.

Verify at the official NPI Registry.