Moultrie Medical Pc in Brookhaven, GA - Medicare Clinic/Center

Moultrie Medical Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Brookhaven, Georgia. The current practice location for Moultrie Medical Pc is 2970 Clairmont Rd Ne Ste 210, Brookhaven, Georgia. For appointments, you can reach them via phone at (256) 302-3505. The mailing address for Moultrie Medical Pc is 2847 Cedar Canyon Ct Ne, Atlanta, Georgia and phone number is (256) 302-3505.

Moultrie Medical Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215618640. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (256) 302-3505.

Contact Information

	Moultrie Medical Pc
	2970 Clairmont Rd Ne Ste 210 Brookhaven GA 30329-4414
	(256) 302-3505
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Moultrie Medical Pc
Speciality	Clinic/Center
Location	2970 Clairmont Rd Ne Ste 210, Brookhaven, Georgia
Authorized Official Name and Position	John Moultrie (OWNER)
Authorized Official Contact	2563023505
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Moultrie Medical Pc 2847 Cedar Canyon Ct Ne Atlanta GA 30345-4021 Ph: (256) 302-3505	Moultrie Medical Pc 2970 Clairmont Rd Ne Ste 210 Brookhaven GA 30329-4414 Ph: (256) 302-3505

NPI Details:

NPI Number	1215618640
Provider Enumeration Date	07/27/2023
Last Update Date	07/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9335592104
Medicare Enrollment ID	O20240129000517

Medical Identifiers

Medical identifiers for Moultrie Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215618640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Moultrie Medical Pc acts as a billing entity for following providers:

Provider Name	John Caldwell Moultrie
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1417393893 PECOS PAC ID: 6608017306 Enrollment ID: I20160912001514

Reviews and Comments

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Moultrie Medical Pc - Medicare Primary Care in Brookhaven, GA