Duane Carson Moody, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN215535 Issued in GA

Practice address

659 Auburn Ave NE Ste 156
Atlanta, GA 30312-1976

Phone

(404) 888-0228

Fax

(404) 888-0552

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long's Drugs of Sandersville Georgia IncGroup PAC ID 4385969609, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9679/brand/1/csg/1/fhir/r4

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.

• Long's Drugs of Sandersville, Georgia, Inc.

  dba AvitaCare

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1265155774
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment NPD
• T Douglas Gurley MD LLC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1245340835
  Medicare reassignment NPD
• Scott B. Parry, D.O.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1306860101
  Medicare reassignment
• Absolutecare, LLC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1528198678
  NPD
• Longs Drugs of Sandersville Georgia Inc

  dba Avita Pharmacy 1046

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1053357509
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1023537321
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1225568579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE STE 156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121976",
            "telephone_number": "404-888-0228",
            "fax_number": "404-888-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE STE 156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121976",
            "telephone_number": "404-888-0228",
            "fax_number": "404-888-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DUANE",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taschecka Morvia Moodie, AGNP
• Candace E Moody, MD
• Catherine Roberts Moody, D.D.S.
• Corey Brent Moody, D.D.S.
• Cynthia Moody, NP
• Jennifer Moody
• Lacey Moody, PHARMD
• Michele Lynn Moody, DOA
• Patricia Moody, M.D.,M.P.H.
• Tonja Freeman Moody, PA-C

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.