Individual provider Active NPI

Lara Wear Moody, M.D.

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1225290737
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84179 Issued in SC
Practice address
1213 Remount Rd
North Charleston, SC 29406-3433
Phone
(843) 973-5415
Fax
(833) 994-1101
NPI assigned
Jun 26, 2008
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84179 SC Primary

Addresses

Primary practice location

1213 Remount Rd
North Charleston, SC 29406-3433

Mailing address

1213 Remount Rd
North Charleston, SC 29406-3433
Phone (843) 973-5415

Other identifiers 1

IdentifierTypeStateIssuer
841799MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lara.moody.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200714002985 SC Practitioner - Family Practice 2567601610 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1213 Remount Rd
Suite E
North Charleston, SC 29406-3433
Phone (843) 973-5415

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Little River Medical Center, Inc CurrentSince Nov 23, 2021 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince May 18, 2022 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince May 18, 2022 Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine Past Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients
Elliot Physicians Network Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

1213 Remount Rd
North Charleston, SC 29406
Phone (843) 973-5415

1213 Remount Rd
Ste E
North Charleston, SC 29406
Phone (843) 973-5415

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

1855 E Main St
Ste 21A
Spartanburg, SC 29307
Phone (864) 913-4370

Interoperability endpoints

  • Direct secure messaging: lara.moody.2@29601.direct.athenahealth.com
  • Direct secure messaging: lara.moody@centerwell.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1225290737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 REMOUNT RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063433",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 REMOUNT RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063433",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "LARA",
        "middle_name": "WEAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841799",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lara.moody.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "lara.moody.2@29601.direct.athenahealth.com",
            "address_1": "1213 Remount Rd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294063433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.