Andrea D Moody, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN055947 NP Issued in GA

Practice address

1921 Alice St
4B
Waycross, GA 31501-6200

Phone

(912) 285-5690

NPI assigned

Jun 23, 2006

Last updated

Feb 1, 2022By 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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.moody@hca5.eclinicaldirectplus.com
• Direct secure messaging: andrea.moody@mhs.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.

• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Psychiatric Hospital Unit
  • Waycross, GA
  • NPI 1285796839
  NPD
• Integrated Regional Laboratories Pathology Services, LLC

  dba IRL Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1285660365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST",
            "address_2": "4B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-285-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST",
            "address_2": "4B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-285-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN055947 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREA.MOODY@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1921 Alice St",
            "address_2": "4B",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315016200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caleb Mingo, CAA
• Miss Jos PCH
• Michelle Mitchell, CCC-SLP
• Jacqueline H Moder
• Martha Lou Molina
• Janna Mullis Moody, APRN
• Lauran Elizabeth Moore, BS, HAD
• Dana Marie Morgan, FNP-BC, PMHNP-BC
• Paul Morgan, LAPC
• Morraine Hill Inpatient Services LLC

• Nurse Practitioner in Waycross, GA
• Providers in Waycross, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.