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

Southeastern Urogynecology & Pelvic Surgery LLC

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1174154421

Southeastern Urogynecology & Pelvic Surgery LLC is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Moultrie, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

115 31st Ave SE
Moultrie, GA 31768-6771
Phone: (229) 502-9788
Fax: (229) 890-1266
Show map & directions

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

Additional practice locations (1)

  • 1963 Village Green Way, Tallahassee, FL 32308-3833 — (229) 502-9788

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1174154421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Matney — Ceo · (229) 985-3420
Other names Sterling Group Urogynecology & Pelvic Surgery
NPI enumeratedJanuary 27, 2020
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing addressPo Box 2876, Moultrie, GA 31776-2876