Active NPI
Alan Moudy
- Sports Medicine (Family Medicine) Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 11004124
- Practice address
- 1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402 - Phone
- (850) 656-2006
- NPI assigned
- Aug 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 11004124 | FL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 11004124 | FL | Primary |
Addresses
Primary practice location
1965 Capital Cir NE Ste 200
Tallahassee, FL 32308-8402
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200424000204 | FL | Practitioner - Nurse Practitioner | 6103256698 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baycare Medical Group, Inc.Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501
2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515
6633 Forest Ave
New Port Richey, FL 34653-2612
Hospital & facility affiliations
- Morton Plant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004124 | FL | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2102 Trinity Oaks Blvd
Ste 216
Trinity, FL 34655
Phone (727) 372-2501
2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601
Interoperability endpoints
- alan.moudyaprn@direct.mybaycare.org
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- New Port Richey, FL
- NPI 1518357219
-
- Physical Therapy Clinic/Center
- Palm Harbor, FL
- NPI 1932109071
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1336539030
-
- Physical Therapy Clinic/Center
- Sarasota, FL
- NPI 1730719816
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1316426257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 CAPITAL CIR NE STE 200",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088402",
"telephone_number": "850-656-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUDY",
"first_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "FL",
"license": "11004124",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "11004124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.