Individual provider Active NPI

Alan Moudy

  • Sports Medicine (Family Medicine) Physician
  • Tallahassee, FL
National Provider Identifier
1316426257
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
11004124 Issued in FL
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 1,539 clinicians
Sports and Orthopedic Rehabilitation Services Inc 314 clinicians

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 Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004124FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Oct 5, 2023 Accepting new patients
Baycare Medical Group, Inc CurrentSince Oct 5, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.