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

Organization Pain Medicine (Anesthesiology) Physician · NPI 1295192391

Colquitt Regional Pain Clinic, LLC is a Pain Medicine (Anesthesiology) Physician in Moultrie, Georgia. Registered with an NPI since 2016.

In the registry since
2016
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) 985-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1295192391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendell Sims — Cfo · (229) 985-3420
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJanuary 20, 2016
Mailing addressPo Box 8866, Greensboro, NC 27419-0866

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