Colquitt Regional Pathology, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

COLQUITT REGIONAL PATHOLOGY, LLC

Doing business as

Sterling Group Pathology

Practice address

3131 S Main St
Moultrie, GA 31768-6925

Phone

(229) 985-3420

NPI assigned

May 9, 2019

Last updated

Sep 4, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

COLQUITT REGIONAL MEDICAL INCAs reported in NPPES

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

Authorized official

Name

James L Matney

Title

Ceo

Phone

(229) 985-3420

Specialties & licenses 1

Addresses

Other names 1

• Sterling Group Pathology Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 65

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.

• Cory Porteus, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Moultrie, GA
  • NPI 1750709325
  Medicare reassignment NPD
• Simon Adames, MD

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1205804622
  NPD
• Anthony Adebayo Adetomiwa, MD

  • Pediatrics Physician
  • Moultrie, GA
  • NPI 1902469752
  NPD
• Justin A Baker, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1790707925
  NPD
• Tracey Bastiaans, DO

  • Plastic Surgery Physician
  • Moultrie, GA
  • NPI 1952749582
  NPD
• Christopher Neil Bazal, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1639260037
  NPD
• Joseph B Beavers, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1205199437
  NPD
• Eliran Bracha

  • Anesthesiology Physician
  • Moultrie, GA
  • NPI 1538513726
  NPD
• Catherine Ann Coomer Brown, MD

  • Internal Medicine Physician
  • Moultrie, GA
  • NPI 1679696595
  NPD
• Jared Kent Cardwell, MD

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1003033135
  NPD
• Heather M Champion, NP

  • Family Nurse Practitioner
  • Moultrie, GA
  • NPI 1356682447
  NPD
• Andrew G Cordista, MD

  • Orthopaedic Surgery of the Spine Physician
  • Moultrie, GA
  • NPI 1295745081
  NPD

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1942865480",
    "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": "229-985-5675",
            "fax_number": "229-891-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686925",
            "telephone_number": "229-985-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLQUITT REGIONAL PATHOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLQUITT REGIONAL MEDICAL INC",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MATNEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-985-3420"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Group Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colquitt Regional Neurology, LLC (Sterling Group Southern Neurology & Neurosciences)
• Colquitt Regional OB/GYN, LLC (Moultrie Center for Women's Health)
• Colquitt Regional Oncology LLC (Edwards Cancer Center)
• Colquitt Regional Orthopedics, LLC
• Colquitt Regional Pain Clinic, LLC
• Colquitt Regional Pediatrics, LLC
• Colquitt Regional Psychiatry LLC (Sterling Group Psychiatry)
• Colquitt Regional Pulmonology, LLC (Sterling Group Pulmonology)
• Colquitt Regional Rheumatology, LLC (Sterling Group Rheumatology)
• Colquitt Regional Spine LLC (Sterling Group Spine Center)

• Anatomic Pathology & Clinical Pathology Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.