COLQUITT REGIONAL UROLOGY, LLC – NPI #1215209416
Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
COLQUITT REGIONAL UROLOGY, LLC is an urologist located in MOULTRIE, GA. NPPES has assigned the NPI number 1215209416 to COLQUITT REGIONAL UROLOGY, LLC on February 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.
The NPI profile was last updated on Sep 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLQUITT REGIONAL UROLOGY, LLC below.
NPI Profile for
COLQUITT REGIONAL UROLOGY, LLC
(more than 14 years ago)
MOULTRIE, GA 31768 Phone: (229) 891-9148 Fax:
2 Other location(s):
Moultrie, GA 31768
Phone: (229) 891-9148
Moultrie, GA 31768-6925
Phone: (229) 891-9148
MOULTRIE, GA 31776-2876 Phone: (229) 891-9148 Fax: (229) 217-4910
CEO
Phone: (229) 985-3420
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Identifiers for COLQUITT REGIONAL UROLOGY, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICARE | GA | 202G701316 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208800000X - Urology (Primary) |
GA | 67024 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.