Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colquitt Regional Pain Clinic, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1295192391

Colquitt Regional Pain Clinic, LLC provides Pain Medicine (Anesthesiology) Physician services in Moultrie, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925 Not confirmed with CMS for 10 years — call before visiting
Phone: (229) 985-3420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1295192391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendell Sims — Cfo · (229) 985-3420
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJanuary 20, 2016
Mailing addressPo Box 8866, Greensboro, NC 27419-0866

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