Individual provider Active NPI

Samantha Leggio, DO

  • Obstetrics & Gynecology Physician
  • Moultrie, GA
National Provider Identifier
1831770262
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
105580 Issued in GA
Practice address
3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone
(229) 985-2198
Fax
(229) 891-3250
NPI assigned
Apr 17, 2021
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 105580 GA Primary

Addresses

Primary practice location

3 Sweet Bay CT
Moultrie, GA 31768-6784

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 985-2198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003002226 GA Practitioner - Obstetrics/Gynecology 9537665906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colquitt Regional OB/GYN, LLCGroup PAC ID 3577726470, 6 clinicians

Practice addresses (Care Compare)

3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone (229) 985-2198

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Regional OB/GYN, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Colquitt Regional Surgery, LLC PastSince Sep 1, 2025 Accepting new patients
Colquitt Regional Medical Center Past Accepting new patients

Locations

3 Sweet Bay Ct
Moultrie, GA 31768
Phone (229) 891-2022

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1831770262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "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": "3 SWEET BAY CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686784",
            "telephone_number": "229-985-2198",
            "fax_number": "229-891-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGIO",
        "first_name": "SAMANTHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "105580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.