Individual provider Active NPI

Dahlia Cindy Moscardini, M.B.B.S., M.P.H.

  • Pediatrics Physician
  • Dalton, GA
National Provider Identifier
1104089960
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
64676 Issued in GA
Practice address
1610 Broadrick Dr
Dalton, GA 30720-3012
Phone
(706) 279-1994
Fax
(561) 741-0002
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 64676 GA Primary
Pediatrics Physician 208000000X ME107887 FL

Addresses

Primary practice location

1610 Broadrick Dr
Dalton, GA 30720-3012

Mailing address

1610 Broadrick Dr
Dalton, GA 30720-3012
Phone (706) 279-1994

Other identifiers 2

IdentifierTypeStateIssuer
018596900MedicaidFL
551856953AMedicaidGA

Other names 1

  • Dr. Dahlia Cindy Moscardini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107887FLMDPediatrics Physician
64676GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. Past Accepting new patients
Prime Pediatrics PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1104089960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203012",
            "telephone_number": "706-279-1994",
            "fax_number": "561-741-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203012",
            "telephone_number": "706-279-1994",
            "fax_number": "561-741-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCARDINI",
        "first_name": "DAHLIA",
        "middle_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "64676",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018596900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551856953A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAHLIA",
            "last_name": "MOSCARDINI",
            "middle_name": "CINDY",
            "prefix": "DR.",
            "credential": "M.B.B.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.