Gregg P. Moody, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00027450 Issued in AL

Legal business name

GREGG P. MOODY, PC

Practice address

1005 W Market St
Suite 14
Athens, AL 35611-2454

Phone

(256) 233-2914

Fax

(256) 230-9005

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Gregg P Moody, MDNPI 1982647731

Title

President

Phone

(256) 233-2914

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregg Philip Moody, MD

  • Ophthalmology Physician
  • Athens, AL
  • NPI 1982647731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1902841059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "address_2": "SUITE 14",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-2914",
            "fax_number": "256-230-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "address_2": "SUITE 14",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-2914",
            "fax_number": "256-230-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG P. MOODY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-233-2914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00027450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937807",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Graham
• William Grant III
• Melissa C Gray, M.D.
• Antonia Lanette Green-Fuqua, CRNP
• Wendy Lynn Green, C.R.N.P
• Eli Eugene Griffin, CRNP
• Henry Gilman Griggs Jr., D.M.D.
• Henry Gilman Griggs, D.M.D.
• Rocio D. Guzman, D.M.D.
• Ian Storm Haggard, D.M.D.

• Ophthalmology Physician in Athens, AL
• Providers in Athens, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.