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Colquitt Regional Medical Center

NPI 1720820665ActiveOrganization· Pharmacy, Specialty Pharmacy· Moultrie, GA

Pharmacy, Specialty Pharmacy in Moultrie, Georgia, registered in NPPES in June 2024, part of Hospital Authority of Colquitt County. The authorized official on file is Jessica S. Jordan, Compliance Officer.

Overview

NPI1720820665
StatusActive
Entity typeOrganization (subpart)
Parent organizationHospital Authority of Colquitt County
NPI issuedJun 11, 2024
Last updated in NPPESJun 24, 2025
Certified by providerJun 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Specialty Pharmacy Primary3336S0011X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years