Marla Gwen Poole, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN326199 Issued in GA

Practice address

780 26TH Ave SE
Moultrie, GA 31768-6799

Phone

(229) 502-9735

Fax

(229) 502-9733

NPI assigned

Jul 12, 2019

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colquitt Regional Neurology, LLCGroup PAC ID 0749408284, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105
• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Colquitt Regional Neurology, LLC

  dba Sterling Group Southern Neurology & Neurosciences

  • Neurology Physician
  • Moultrie, GA
  • NPI 1023435666
  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094
  Care Compare affiliation
• Colquitt Regional Medical Center

  dba Colquitt Regional Geriatric Behavioral Health

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1952953689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317761387",
            "telephone_number": "229-502-9735",
            "fax_number": "229-502-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 26TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686799",
            "telephone_number": "229-502-9735",
            "fax_number": "229-502-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "MARLA",
        "middle_name": "GWEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN326199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Vichetra Pel, DO
• Perform Physical Therapy & Wellness LLC
• Rebecca H Peters, NP
• Makita Phillips
• Pink Penny Care, LLC (The Pink Penny Private Homecare, LLC)
• Cory Porteus, DO
• Julie Marie Posey, NP-C
• Kent Alexander Posey, MD
• Gary Randall Pressley Jr., DNAP
• Billy Ray Price II, MD

• Nurse Practitioner in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Nurse Practitioner 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.