Individual provider Active NPI

Cynthia Moody, NP

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1972047611
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN209190 Issued in GA
Practice address
1000 Parkwood Cir SE Ste 900
Atlanta, GA 30339-2140
Phone
(800) 897-9177
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN209190 GA Primary

Addresses

Primary practice location

1000 Parkwood Cir SE Ste 900
Atlanta, GA 30339-2140

Mailing address

6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Phone (800) 897-9177

Other practice location 1

6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Phone (800) 897-9177

Other practice location 2

3970 Post Rd
Warwick, RI 02886-9235
Phone (800) 897-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, MD, OK, NC, NJ, DE, DC, RI, MI, NV, SC, OH, KY, MN, CT, NM, NY, TX, PA, MS, SD, FL, WI24 enrollments
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 24

Enrollment IDStateProvider typePAC IDDetails
I20170403000516 GA Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20201002000839 VA Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20210121000679 MD Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20210202000225 OK Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20210503000551 NC Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20210611000996 NJ Practitioner - Nurse Practitioner 1658656715
I20210616001859 DE Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20210622003657 DC Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20211011001475 RI Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20220503001444 MI Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20220506001774 NV Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20220516000393 SC Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20220524003047 OH Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20221103001115 KY Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20221205001327 MN Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20231118000504 CT Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20231218004151 NM Practitioner - Nurse Practitioner 1658656715
I20250414000609 NY Practitioner - Nurse Practitioner 1658656715
I20250414002506 TX Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20250414002692 PA Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20260406003150 MS Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20260409000705 SD Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20260410003688 FL Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization
I20260505001629 WI Practitioner - Nurse Practitioner 1658656715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Line Community HealthcareGroup PAC ID 7416170501, 7 clinicians

Practice addresses (Care Compare)

1000 Highland Colony Pkwy
Suite 5203
Ridgeland, MS 39157-2079
Phone (866) 964-3285

1000 N W St
Suite 1200
Wilmington, DE 19801-1058
Phone (866) 964-3285

1000 Parkwood Cir SE
Suite 900
Atlanta, GA 30339-2140
Phone (216) 393-8684

101 S Reid St
Suite 307
Sioux Falls, SD 57103-7045
Phone (866) 964-3285

11211 Taylor Draper LN
Suite 206
Austin, TX 78759-3971
Phone (866) 964-3285

1629 K St NW
Suite 300
Washington, DC 20006-1631
Phone (866) 964-3285

1997 Annapolis Exchange Pkwy
Suite 300
Annapolis, MD 21401-3273
Phone (866) 964-3285

2810 Crossroads Dr
Suite 4000
Madison, WI 53718-8014
Phone (866) 579-5103

301 Grant St
Suite 270
Pittsburgh, PA 15219-1408
Phone (866) 964-3285

386 Main St
Suite 400
Middletown, CT 06457-3360
Phone (866) 964-3285

3900 Westerre Pkwy
Suite 300
Henrico, VA 23233-1339
Phone (866) 579-5103

3970 Post Rd
Warwick, RI 02886-9235
Phone (866) 964-3285

6111 Oak Tree Blvd
Suite 301
Independence, OH 44131-2585
Phone (866) 964-3285

625 Kenmoor Ave SE
Grand Rapids, MI 49546-2395
Phone (866) 964-3285

7380 W Sand Lake Rd
Suite 500
Orlando, FL 32819-5257
Phone (866) 964-3285

7455 Arroyo Crossing Pkwy
Suite 220
Las Vegas, NV 89113-4088
Phone (866) 964-3285

7633 E 63Rd PL
Suite 300
Tulsa, OK 74133-1202
Phone (866) 964-3285

7900 International Dr
Suite 300
Bloomington, MN 55425-2562
Phone (866) 964-3285

900 Trail Ridge Rd
FL 1
Aiken, SC 29803-7765
Phone (866) 964-3285

9850 Von Allmen CT
Suite 201
Louisville, KY 40241-2855
Phone (866) 964-3285

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN209190GAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cynthia.malcolm.1@21667.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1972047611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 OAK TREE BLVD STE 301",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312585",
            "telephone_number": "800-897-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARKWOOD CIR SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392140",
            "telephone_number": "800-897-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6111 Oak Tree Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441312585",
            "country_code": "US",
            "telephone_number": "800-897-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3970 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028869235",
            "country_code": "US",
            "telephone_number": "800-897-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN209190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.