Healthcare Provider Details

I. General information

NPI: 1235841784
Provider Name (Legal Business Name): STERLING PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HOSPITAL PARK
MOULTRIE GA
31768-6700
US

IV. Provider business mailing address

PO BOX 2876
MOULTRIE GA
31776-2876
US

V. Phone/Fax

Practice location:
  • Phone: 229-891-9131
  • Fax: 229-891-9130
Mailing address:
  • Phone: 229-891-9028
  • Fax: 229-890-7053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JAMES L MATNEY
Title or Position: CEO
Credential:
Phone: 229-985-3420