Colquitt Regional Dermatology, LLC
NPI 1649683897 · Dermatology Physician · Moultrie, GA
Colquitt Regional Dermatology, LLC is a Dermatology Physician organization in Moultrie, GA (NPI 1649683897).
Provider details
- NPI number
- 1649683897
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Colquitt Regional Medical, Inc
- Organization subpart
- Yes
- Authorized official
- Amanda Roberts, Provider Enrollment Coordinator(229) 891-9131
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-06-05
- Last updated
- 2022-07-21
Frequently asked questions
- What is Colquitt Regional Dermatology, LLC's NPI number?
- Colquitt Regional Dermatology, LLC's National Provider Identifier (NPI) is 1649683897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colquitt Regional Dermatology, LLC?
- Colquitt Regional Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Colquitt Regional Dermatology, LLC located?
- Colquitt Regional Dermatology, LLC's practice location on file with NPPES is 760 26th Ave Se, Moultrie, GA 31768-6799.
- What is Colquitt Regional Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Colquitt Regional Dermatology, LLC is (229) 502-9710.
- Who is the authorized official for Colquitt Regional Dermatology, LLC?
- The authorized official listed on Colquitt Regional Dermatology, LLC's NPPES record is Amanda Roberts, Provider Enrollment Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colquitt Regional Dermatology, LLC's NPI active?
- Yes — Colquitt Regional Dermatology, LLC's NPI (1649683897) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.