OrganizationActive
Moultrie Pediatrics, LLC
NPI 1679766299 · Pediatrics Physician · Moultrie, GA
Provider details
- NPI number
- 1679766299
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marion Wills, Owner(229) 985-1293
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 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
1 Sweet Bay Ct
Suite a
Moultrie, GA 31768-6756
Phone: (229) 985-1293
Fax: (229) 891-2123
Street-level locationGet directions
Mailing address
Po Box 129
Moultrie, GA 31776-0129
Other names (DBA / former)
- Doing business as
- Children'S Medical Group of Sw Ga
Registry dates
- Enumerated
- 2007-08-27
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.