Moultrie Internal Medicine Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21172 Issued in GA

Legal business name

MOULTRIE INTERNAL MEDICINE ASSOCIATES PC

Practice address

320 Sunset Cir
Moultrie, GA 31768-6924

Phone

(229) 985-5200

NPI assigned

Feb 7, 2007

Last updated

May 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Lamon, RN

Title

Office Manager

Phone

(229) 985-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/74543

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.

• James Clyde Lamon, MD

  • Internal Medicine Physician
  • Moultrie, GA
  • NPI 1013019033
  Medicare reassignment NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1982744082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUNSET CIR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686924",
            "telephone_number": "229-985-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUNSET CIR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686924",
            "telephone_number": "229-985-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTRIE INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LAMON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-985-5200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "21172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220349C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen William Moore, DDS
• Anthony M Moser, MD
• Moultrie Center for Adult and Pediatric Healthcare, PC
• Moultrie Healthway, LLC
• Moultrie I Enterprises, LLC (Park Regency of Moultrie)
• Moultrie Orthodontics, P.C.
• Moultrie Orthopedic Clinic, P.C.
• Moultrie Pediatrics, LLC (Children's Medical Group of SW GA)
• Moultrie Urological Clinic, Inc
• Moultrie Urology ASC

• Internal Medicine Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.