Moody Surgical Associates, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOODY SURGICAL ASSOCIATES, LLC

Practice address

3540 Duluth Park LN Ste 290
Duluth, GA 30096

Phone

(706) 489-9623

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Moody, MD

Title

Founder/Owner

Phone

(409) 877-8875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699142400000",
    "number": "1669971214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 BLANDFORD PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505603",
            "telephone_number": "770-676-6873",
            "fax_number": "770-676-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 DULUTH PARK LN STE 290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "706-489-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "409-877-8875",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Montagne
• Robert Montero, MD
• Aaron A Montgomery, NP
• Lorena Montoya
• Jada Moodie, RBT
• Lisa Carolyn Moody, M.D.
• Angela Moon, DPM
• Ha Young Moon, RPH
• Yechan Moon, DC
• Elizabeth M Moore, CNS

• Ambulatory Surgical Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.