MOULTRIE UROLOGICAL CLINIC, INC – Specialist, NPI 1861695579

MOULTRIE UROLOGICAL CLINIC, INC is a healthcare provider. based in Moultrie, Georgia. specializing in Specialist. The organization holds a License No. 031557 (GA). The NPI Number for MOULTRIE UROLOGICAL CLINIC, INC is 1861695579

Main info

Organization
Name
MOULTRIE UROLOGICAL CLINIC, INC
NPI
1861695579
Phone
(229) 985-3066
Address
2 HOSPITAL PARK
Authorized Official
MRS. MAHA KASSIS BADDOUR PRACTICE MANAGER RMM, MBA
Enumeration Date
8 June 2007
Last Update Date
24 March 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MOULTRIE UROLOGICAL CLINIC, INC

  • 2 HOSPITAL PARK

    MOULTRIE, GA 317686700

    Phone: (229) 985-3066

    Fax: (229) 890-2092

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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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)

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Frequently asked questions

How is MOULTRIE UROLOGICAL CLINIC, INC identified in CMS data?
CMS-hosted NPPES data lists MOULTRIE UROLOGICAL CLINIC, INC with NPI 1861695579.
Is MOULTRIE UROLOGICAL CLINIC, INC listed as active for patients and plans?
The listing shows MOULTRIE UROLOGICAL CLINIC, INC as active in the NPI system.
What is MOULTRIE UROLOGICAL CLINIC, INC's specialty?
The listing groups MOULTRIE UROLOGICAL CLINIC, INC with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does MOULTRIE UROLOGICAL CLINIC, INC list a practice location?
Patients near Moultrie, Georgia may find MOULTRIE UROLOGICAL CLINIC, INC in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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