NPIMap

Individual provider Active NPI

Micah Joyce Moody, APRN/ NP

  • Family Nurse Practitioner
  • Southside, AR
National Provider Identifier
1447820998
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216572 Issued in AR
Practice address
1217 Batesville Blvd
Southside, AR 72501-8912
Phone
(870) 262-2800
Fax
(870) 262-2815
NPI assigned
Jun 28, 2021
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216572 AR Primary

Addresses

Primary practice location

1217 Batesville Blvd
Southside, AR 72501-8912

Mailing address

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

Other identifiers 1

IdentifierTypeStateIssuer
274084758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210828000312 AR Practitioner - Nurse Practitioner 7416352430 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

Practice addresses (Care Compare)

1217 Batesville Blvd
Southside, AR 72501-8912
Phone (870) 262-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Mar 31, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System Inc CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients
White River Health System, Inc. CurrentSince Aug 2, 2021 Accepting new patients

Locations

1215 Sidney St
Ste 300
Batesville, AR 72501
Phone (870) 793-1126

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

409 Virginia Dr
#F
Batesville, AR 72501
Phone (870) 793-5356

195 Hospital Dr
Ste B
Cherokee Vlg, AR 72529
Phone (870) 257-6000

521 Wilburn Rd
Heber Springs, AR 72543
Phone (501) 270-4200

1526 E Main St
Melbourne, AR 72556
Phone (870) 262-3210

105 Case Commons Dr
Mountain View, AR 72560
Phone (870) 269-4144

501 Vine St
Newark, AR 72562
Phone (870) 799-3299

2200 Malcolm Ave
Ste B
Newport, AR 72112
Phone (870) 512-2500

6200 Batesville Blvd
Pleasant Plns, AR 72568
Phone (501) 345-2183

1217 Batesville Blvd
Southside, AR 72501
Phone (870) 262-2800

1217 Batesville Blvd
#F
Southside, AR 72501
Phone (870) 262-2800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: micah.moody.1@13831.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1447820998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018912",
            "telephone_number": "870-262-2800",
            "fax_number": "870-262-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MICAH",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "APRN/ NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274084758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AR

Sources for this page

Verify at the official NPI Registry.