Individual provider Active NPI

Austin Moody, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1881004299
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TRN# 19692 Issued in FL
Practice address
4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903
Phone
(904) 281-1915
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN# 19692 FL Primary

Addresses

Primary practice location

4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Other practice location 1

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233
Phone (321) 207-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170722000310 FL Practitioner - Family Practice 6406072255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rmed LLCGroup PAC ID 6608768411, 25 clinicians

Practice addresses (Care Compare)

Maitland, FL 32751
Phone (321) 207-9029

Tampa, FL 33637
Phone (813) 517-0137

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN# 19692FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Iah of Florida, LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Rmed LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients

Locations

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: austin.moody.1@32913.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1881004299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160903",
            "telephone_number": "904-281-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Lake Lucien Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517233",
            "country_code": "US",
            "telephone_number": "321-207-9029",
            "fax_number": "844-410-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "AUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN# 19692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.