Active NPI
Terry Lee Mooty, CAA
- Anesthesiologist Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 627
- Practice address
- 600 Highland Ave
Madison, WI 53792-0001 - Phone
- (608) 263-8100
- NPI assigned
- Sep 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 627 | WI | Primary |
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | 11210 | GA |
Addresses
Primary practice location
600 Highland Ave
Madison, WI 53792-0001
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 263-8100
Other practice location 1
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100
Other practice location 2
5354 Reynolds St Ste 424
Savannah, GA 31405-6011
Phone (912) 819-5999
Other practice location 3
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000
Other practice location 4
210 E DeRenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Other practice location 5
247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1207
Other practice location 6
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100
Other practice location 7
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (470) 644-1274
Other practice location 8
101 Saint Josephs Candler Dr
Pooler, GA 31322-9584
Phone (912) 737-2231
Other practice location 9
7002 Hodgson Memorial Dr Ste 105
Savannah, GA 31406-1517
Phone (912) 355-7214
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmooty536976@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1093025686
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1508588948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531",
"telephone_number": "608-263-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-263-8100"
}
],
"practiceLocations": [
{
"address_1": "11705 Mercy Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314191711",
"country_code": "US",
"telephone_number": "912-819-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5354 Reynolds St Ste 424",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056011",
"country_code": "US",
"telephone_number": "912-819-5999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5353 Reynolds St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056015",
"country_code": "US",
"telephone_number": "912-819-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 E DeRenne Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056736",
"country_code": "US",
"telephone_number": "912-644-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "247 S Main St",
"address_purpose": "LOCATION",
"city": "Reidsville",
"state": "GA",
"postal_code": "304534605",
"country_code": "US",
"telephone_number": "912-557-1207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11705 Mercy Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314191711",
"country_code": "US",
"telephone_number": "912-819-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2540 Windy Hill Rd SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678605",
"country_code": "US",
"telephone_number": "470-644-1274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Saint Josephs Candler Dr",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313229584",
"country_code": "US",
"telephone_number": "912-737-2231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7002 Hodgson Memorial Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314061517",
"country_code": "US",
"telephone_number": "912-355-7214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOTY",
"first_name": "TERRY",
"middle_name": "LEE",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WI",
"license": "627",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "11210",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmooty536976@directwellstar.org",
"affiliation": "N",
"address_1": "2540 Windy Hill Rd SE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300678605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.