OrganizationActive
Colquitt Regional Emergency Physicians, LLC
NPI 1902211642 · Emergency Medicine Physician · Moultrie, GA
Provider details
- NPI number
- 1902211642
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shamb Purohit, Cfo(229) 502-9703
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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) 336-4621
Street-level locationGet directions
Mailing address
Po Box 3697
Moultrie, GA 31776-3697
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2014-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.