Individual provider Active NPI

Gregg Philip Moody, MD

  • Ophthalmology Physician
  • Athens, AL
National Provider Identifier
1982647731
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00027450 Issued in AL
Practice address
15242 Greenfield Dr
Athens, AL 35613-2897
Phone
(256) 233-2914
Fax
(256) 230-9005
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00027450 AL Primary

Addresses

Primary practice location

15242 Greenfield Dr
Athens, AL 35613-2897

Mailing address

15242 Greenfield Dr
Athens, AL 35613-2897
Phone (256) 233-2914

Other identifiers 2

IdentifierTypeStateIssuer
009937807MedicaidAL
510-03990OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060718000286 AL Practitioner - Ophthalmology 7618980590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15242 Greenfield Dr
Athens, AL 35613-2897
Phone (256) 233-2914

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.74 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
93.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027450ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg P. Moody, PC Ophthalmology CurrentSince Jun 22, 2006 Accepting new patients

Locations

15242 Greenfield Dr
Athens, AL 35613
Phone (256) 233-2914

1005 W Market St
Ste 14
Athens, AL 35611
Phone (256) 233-2914

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.

Hospital & facility affiliations 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1982647731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15242 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132897",
            "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": "15242 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132897",
            "telephone_number": "256-233-2914",
            "fax_number": "256-230-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "GREGG",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00027450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937807",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510-03990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.