OrganizationActive
Moultrie Urological Clinic, Inc
NPI 1861695579 · Specialist · Moultrie, GA
Moultrie Urological Clinic, Inc is a Specialist organization in Moultrie, GA (NPI 1861695579).
Provider details
- NPI number
- 1861695579
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Maha Baddour, Practice Manager(229) 985-3066
- License
- 031557 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2 Hospital Park
Moultrie, GA 31768-6700
Phone: (229) 985-3066
Fax: (229) 890-2092
Street-level locationGet directions
Mailing address
2 Hospital Park
Moultrie, GA 31768-6700
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2010-03-24
Frequently asked questions
- What is Moultrie Urological Clinic, Inc's NPI number?
- Moultrie Urological Clinic, Inc's National Provider Identifier (NPI) is 1861695579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moultrie Urological Clinic, Inc?
- Moultrie Urological Clinic, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Moultrie Urological Clinic, Inc located?
- Moultrie Urological Clinic, Inc's practice location on file with NPPES is 2 Hospital Park, Moultrie, GA 31768-6700.
- What is Moultrie Urological Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Moultrie Urological Clinic, Inc is (229) 985-3066.
- Who is the authorized official for Moultrie Urological Clinic, Inc?
- The authorized official listed on Moultrie Urological Clinic, Inc's NPPES record is Maha Baddour, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moultrie Urological Clinic, Inc's NPI active?
- Yes — Moultrie Urological Clinic, Inc's NPI (1861695579) is active in the NPPES registry as of the last update on 2010-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.