Chad Michael Moody, PA-C
Individual provider Active NPI Medical Physician Assistant · Hemphill, TX
NPI 1487617890 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1487617890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA04719 (TX)
- Practice address
- 2421 Worth St
Hemphill, TX 75948-7215 - Phone
- (409) 787-1416
- Fax
- (409) 787-1419
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Hospital Leasing Hemphill, Inc.
Practice addresses (Care Compare)
2421 Worth St
Hemphill, TX 75948-7215
Phone (409) 787-1416
Hospital & facility affiliations
- Accentcare Home Health of Texas
- Angels Care Home Health
- A Pineywoods Home Health Care Inc
- Elara Caring
- Doctor'S Choice Home Care
- Sabine County Hospital
- Christus Jasper Memorial Hospital
- Nacogdoches Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060315000796 | TX | Practitioner - Physician Assistant | 0244247211 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Hospital Leasing Hemphill, Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc. | Current |
Accepting new patients | |
| Texas Em-I Medical Services PA | Current |
Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc | Current | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
| San Augustine Family Practice PA | Past | Accepting new patients |
Locations
2301 Worth St
Hemphill, TX 75948
1111 Worth St
Hemphill, TX 75948
Phone (409) 787-1707
2421 Worth St
Hemphill, TX 75948
Phone (409) 787-1416
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04719 | TX | |
| Medical Physician Assistant | 363AM0700X | PA04719 | TX | Yes |
Addresses
Primary practice location
2421 Worth St
Hemphill, TX 75948-7215
Mailing address
2421 Worth St
Hemphill, TX 75948-7215
Phone (409) 787-1416
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1070770 | Other | TX | PA NATIONAL CERTIFICATION |
| 191096002 | Medicaid | TX |
Other providers in Hemphill, TX
- Mathews Medical Supply, Inc
- Jenna Greer Mathews
- Christopher M Melcher
- Maria Mena
- Karen L Mills
- Mount Moriah Health and Rehabilitation, LLC
- Amy Leah Neal
- Patricia Anne O'Brien
- Outreach Health Community Care Services, L.P.
- Outreach Health Community Care Services, LP
All providers in Hemphill, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.