OrganizationActive
Colquitt Regional Anesthesia, LLC
NPI 1154580512 · Specialist · Moultrie, GA
Provider details
- NPI number
- 1154580512
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Judy Ricks, Provider Enrollment Coordinator(229) 891-9131
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 985-3420
Fax: (229) 891-9079
Street-level locationGet directions
Mailing address
Po Box 3305
Moultrie, GA 31776-3305
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.