Moultrie Medical PC
NPI 1215618640 · Primary Care Clinic/Center · Brookhaven, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moultrie Medical PC is a Primary Care Clinic/Center organization in Brookhaven, GA (NPI 1215618640).
Provider details
- NPI number
- 1215618640
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Moultrie, Owner(256) 302-3505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Frequently asked questions
- What is Moultrie Medical PC's NPI number?
- Moultrie Medical PC's National Provider Identifier (NPI) is 1215618640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moultrie Medical PC?
- Moultrie Medical PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Moultrie Medical PC located?
- Moultrie Medical PC's practice location on file with NPPES is 2970 Clairmont Rd Ne Ste 210, Brookhaven, GA 30329-4414.
- What is Moultrie Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Moultrie Medical PC is (256) 302-3505.
- Does Moultrie Medical PC accept Medicare?
- Moultrie Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moultrie Medical PC?
- The authorized official listed on Moultrie Medical PC's NPPES record is John Moultrie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moultrie Medical PC's NPI active?
- Yes — Moultrie Medical PC's NPI (1215618640) is active in the NPPES registry as of the last update on 2023-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.