23D Medgrp-Moody

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

23D MEDGRP-MOODY

Practice address

3278 Mitchell Blvd
Moody AFB, GA 31699-1500

Phone

(229) 257-3041

Fax

(229) 257-5528

NPI assigned

Mar 28, 2006

Last updated

Jun 16, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

23D MEDGRP-MOODYAs reported in NPPES

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

Authorized official

Name

Jen Lewandowski

Title

Air Force Ubo Analyst

Phone

(703) 817-4030

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Moody AFB MTF Other name

Tax ID family

23D Medgrp-Moody2 organizations share this tax ID, including this one

Part of

23D Medgrp-Moody

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 23D Medgrp-Moody

  dba DoD MOODY ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Moody AFB, GA
  • NPI 1417362211
  NPD tax ID

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1316907744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 MITCHELL BLVD",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-3041",
            "fax_number": "229-257-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 MITCHELL BLVD",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "316991500",
            "telephone_number": "229-257-3041",
            "fax_number": "229-257-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "23D MEDGRP-MOODY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "23D MEDGRP-MOODY",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "AIR FORCE UBO ANALYST",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED PHARMACY NPI",
            "identifier": "1689773350",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1142784",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moody AFB MTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 23D Medgrp-Moody (DoD MOODY ePhcy)
• Meshva Akwalia, D.O.
• Thomas James Allen, IDMT
• Michael Argyle, D.O.
• Bethany Barber, MS, LAT, ATC

• Military/U.S. Coast Guard Outpatient Clinic/Center in Moody AFB, GA
• Providers in Moody AFB, GA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.