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

Colquitt Regional Medical Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1770371429

Colquitt Regional Medical Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moultrie, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

15 Hospital Park
Moultrie, GA 31768-6772
Phone: (229) 891-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1770371429
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColquitt Regional Medical Center
Authorized official Jim Matney — President/Ceo · (229) 890-3532
Other names Colquitt Regional Home Dialysis
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address3131 S Main St, Moultrie, GA 31768-6925

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