Active NPI
Chase Moody
- Pharmacist
- Macon, GA
National Provider Identifier
1225751290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028652
- Practice address
- 1544 Bass Rd
Macon, GA 31210-7510 - Phone
- (478) 471-4494
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028652 | GA | Primary |
Addresses
Primary practice location
1544 Bass Rd
Macon, GA 31210-7510
Mailing address
235 Payne Hill Dr
Clayton, GA 30525-4120
Phone (404) 374-2860
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028652 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1225751290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PAYNE HILL DR",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305254120",
"telephone_number": "404-374-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 BASS RD",
"city": "MACON",
"state": "GA",
"postal_code": "312107510",
"telephone_number": "478-471-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "CHASE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "028652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.