COLQUITT REGIONAL DERMATOLOGY, LLC – Dermatology Physician, NPI 1649683897

COLQUITT REGIONAL DERMATOLOGY, LLC is a healthcare provider. based in Moultrie, Georgia. specializing in Dermatology Physician. The NPI Number for COLQUITT REGIONAL DERMATOLOGY, LLC is 1649683897

Main info

Organization
Name
COLQUITT REGIONAL DERMATOLOGY, LLC
NPI
1649683897
Phone
(229) 502-9710
Address
760 26TH AVE SE
Authorized Official
AMANDA L ROBERTS PROVIDER ENROLLMENT COORDINATOR
Enumeration Date
5 June 2014
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for COLQUITT REGIONAL DERMATOLOGY, LLC

  • 760 26TH AVE SE

    MOULTRIE, GA 317686799

    Phone: (229) 502-9710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31768)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is COLQUITT REGIONAL DERMATOLOGY, LLC listed with a National Provider Identifier?
Yes — COLQUITT REGIONAL DERMATOLOGY, LLC has NPI 1649683897 on file in the registry.
Would COLQUITT REGIONAL DERMATOLOGY, LLC appear as active to a payer?
You can treat COLQUITT REGIONAL DERMATOLOGY, LLC as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is COLQUITT REGIONAL DERMATOLOGY, LLC?
COLQUITT REGIONAL DERMATOLOGY, LLC is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is COLQUITT REGIONAL DERMATOLOGY, LLC registered?
Use Moultrie, Georgia as the headline location for COLQUITT REGIONAL DERMATOLOGY, LLC here.
Can I trust this NPI listing for COLQUITT REGIONAL DERMATOLOGY, LLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

BARBARA EILEEN EBERT (MD)

Dermatology Physician
PO BOX 3864
NPI: 1558319301

JOSETTE RENEE MCMICHAEL (M.D.)

Dermatology Physician
PO BOX 3864
NPI: 1396061750

BRANDON PATRICK MERRILL (MD)

Dermatology Physician
950 N GLEBE RD STE 700
NPI: 1285983734