Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colquitt Regional Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1902211642

Colquitt Regional Emergency Physicians, LLC is an Emergency Medicine Physician in Moultrie, Georgia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 336-4621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1902211642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shamb Purohit — Cfo · (229) 502-9703
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing addressPo Box 3697, 3131 S. Main St, Moultrie, GA 31776-3697

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