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

Mrs. Ashley Lacey Bostick, NP

Individual provider Nurse Practitioner · NPI 1306190178

Mrs. Ashley Lacey Bostick, NP is a Nurse Practitioner in Moultrie, Georgia. Qualified in 2012, 14 years ago. Practices with Colquitt Regional Spine LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8 Live Oak Ct
Moultrie, GA 31768-6783
Phone: (229) 890-6612
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN181134 (GA)

Record details

NPI number1306190178
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 1, 2012
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Colquitt Regional Spine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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