David Tipton Moody, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101032087 Issued in VA

Practice address

800 Preston Ave.
Charlottesville, VA 22903-4420

Phone

(434) 972-1845

Fax

(434) 970-1374

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710901897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRESTON AVE.",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034420",
            "telephone_number": "434-972-1845",
            "fax_number": "434-970-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRESTON AVE.",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034420",
            "telephone_number": "434-972-1845",
            "fax_number": "434-970-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DAVID",
        "middle_name": "TIPTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101032087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Montgomery, MD
• Richard M Montgomery, MD
• Monticello Community Surgery Center, LLC
• Monticello Plastic and Reconstructive Surgery, PC
• Gerald Montoya, DNP FNP
• Addison Moon
• Ashley Virginia Moon, MD
• Dayoung Moon, PA-C
• Dustin Joel Moon, P.T.
• Rachel Y. Moon, M.D.

• Psychiatry Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.