Individual provider Active NPI

Patricia N Moody, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakeland, FL
National Provider Identifier
1033308028
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME111593 Issued in FL
Practice address
1125 Bartow Rd
Lakeland, FL 33801-5852
Phone
(863) 683-7171
NPI assigned
Oct 16, 2007
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X ME111593 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME111593 FL Primary

Addresses

Primary practice location

1125 Bartow Rd
Lakeland, FL 33801-5852

Mailing address

3110 Cherry Palm Dr Ste 340
Tampa, FL 33619-8373
Phone (813) 932-0374

Other practice location 1

3110 Cherry Palm Dr Ste 340
Tampa, FL 33619-8373
Phone (813) 932-0374

Other practice location 2

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

Other names 1

  • Patricia McNab Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000062 FL Practitioner - Pathology 3072756550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME111593FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL CurrentSince Dec 15, 2025 Accepting new patients
Southeastern Dermatology Group PA CurrentSince Jan 19, 2018 Accepting new patients
Independent Clinical Laboratories LLC PastSince Jun 8, 2025 Accepting new patients
Vascular Associates LLC Past Accepting new patients
MVP Medical Practice PC PastSince Dec 15, 2025 Accepting new patients
Micro Path Laboratories Inc Past Accepting new patients

Locations

13770 Plantation Rd
#103
Fort Myers, FL 33912

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

82 Mack Bayou Loop
Santa Rsa Bch, FL 32459
Phone (850) 622-0600

3110 Cherry Palm Dr
Ste 350
Tampa, FL 33619

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1033308028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHERRY PALM DR STE 340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198373",
            "telephone_number": "813-932-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BARTOW RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015852",
            "telephone_number": "863-683-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Cherry Palm Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336198373",
            "country_code": "US",
            "telephone_number": "813-932-0374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "PATRICIA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME111593",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME111593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCNAB",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.