Robert Wayne Mooney, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

036828 Issued in GA

Practice address

311 Jones Mill Rd
Statesboro, GA 30458-4765

Phone

(912) 764-6236

Fax

(912) 764-7063

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pineland Area Community Services Board

  • Community/Behavioral Health Agency
  • Statesboro, GA
  • NPI 1588735252
  NPD (past)
• Willingway, Inc.

  • Special Hospital
  • Statesboro, GA
  • NPI 1174682546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013131598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JONES MILL RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584765",
            "telephone_number": "912-764-6236",
            "fax_number": "912-764-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JONES MILL RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584765",
            "telephone_number": "912-764-6236",
            "fax_number": "912-764-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "036828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana C Moncur
• Makenzie Lee Moody, CCC-SLP
• Brian A Moogerfeld, M.D.
• Maria A Moogerfeld, M.D.
• Jesse Moon
• Patricia Moore, FNP-BC, APRN
• Constance E Morgan, WHNP
• Patricia D. Morissette, MD
• Jenna Morogiello
• Donna Lisa Moxley Lassiter

• Addiction Medicine (Psychiatry & Neurology) Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.