Mandy Sampson Moye, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

65589 Issued in GA

Practice address

603 Wheat Ave
Suite 450
Bainbridge, GA 39819-4360

Phone

(229) 246-1209

Fax

(229) 243-7707

NPI assigned

Jun 24, 2008

Last updated

Sep 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mandy.moye@mh-m.gadirect.net

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.

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1073774758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE",
            "address_2": "SUITE 450",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194360",
            "telephone_number": "229-246-1209",
            "fax_number": "229-243-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE",
            "address_2": "SUITE 450",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194360",
            "telephone_number": "229-246-1209",
            "fax_number": "229-243-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYE",
        "first_name": "MANDY",
        "middle_name": "SAMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "65589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107067A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "065589",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Lynn Mills, LCSW
• Roger Lynn Mills, DMD
• Moore, Sharlene's Personal Care Home, Inc.
• Moving Forward Therapeutic Services LLC
• Jason Belmont Moye, MD
• Mrs Homecare, Inc. (Mrs of Bainbridge)
• George Joseph Myers IV, D.O.
• New Beginnings Community Outreach Program Inc
• Brandalyn M New, BCBA
• Nicholas V. Adams DMD PC

• Pediatrics Physician in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.