Individual provider Active NPI

Morgan Ariel Doty Moody, APRN

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1538713839
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903443 Issued in MS
Practice address
102 Lexington Dr Ste 100
Madison, MS 39110-6952
Phone
(601) 973-1688
Fax
(601) 973-1690
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 903443 MS Primary

Addresses

Primary practice location

102 Lexington Dr Ste 100
Madison, MS 39110-6952

Mailing address

501 Bay Pointe CV
Brandon, MS 39047-8631
Phone (601) 405-4334

Other names 1

  • Morgan Ariel Doty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190918003463 MS Practitioner - Nurse Practitioner 4688904576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N State St
Jackson, MS 39202-2000

1200 N State St
Jackson, MS 39202-2027

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Aug 2, 2023 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Aug 2, 2023 Accepting new patients
Trustcare Primary Care, LLC Family Medicine Past Accepting new patients
BMC - Attala, LLC Family Medicine Past Accepting new patients

Locations

760 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 748-7270

115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101

619 S State St
Clarksdale, MS 38614
Phone (662) 812-1229

1061 Highway 35 S
Forest, MS 39074
Phone (601) 541-4310

2009 Highway 82 W
Greenwood, MS 38930
Phone (662) 595-4601

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

616 Highway 82 W
Indianola, MS 38751
Phone (662) 635-8680

50 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 633-4216

296 Eastside Dr
Newton, MS 39345
Phone (601) 228-8985

1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

2121 Grand Ave
Yazoo City, MS 39194
Phone (662) 716-8071

Organizations & group practices 5

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1538713839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAY POINTE CV",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478631",
            "telephone_number": "601-405-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LEXINGTON DR STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106952",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY MOODY",
        "first_name": "MORGAN",
        "middle_name": "ARIEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "DOTY",
            "middle_name": "ARIEL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.