MRS. SHERRI TONEY MOODY


Address: 2774 Superior Dr, Dacula, GA 30019-3429
Phone: 4044059348

MRS. SHERRI TONEY MOODY (NPI# 1144693896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144693896
Entity Type Individual
Full Name MRS. SHERRI TONEY MOODY
Credential C.P.N.P.-A.C.
Practice Address 2774 Superior Dr
Dacula
GA 30019-3429
Practice Telephone 4044059348
Mailing Telephone 4044059348
Enumeration Date 2015-11-03
Last Update Date 2015-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
RN159452 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2774 SUPERIOR DR
City DACULA
State GA
Zip Code 30019-3429

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1053820282 Ethan Zachariah Merrow Student in an Organized Health Care Education/Training Program 1701 Mulberry Lake Drive, Dacula, GA 30019 2017-09-20
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1831545367 Angela Owusu-edusei Nurse Practitioner 3226 Dolostone Way, Dacula, GA 30019 2016-05-13
1528458718 Philomena Gyamfi Registered Nurse 1088 Milford Ln, Dacula, GA 30019 2015-01-27
1417375247 Casey Goldman Sommerfeld Pediatrics 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 2014-03-29
1417398215 Samia Tahil Home Health 2821 Spence Ct, Dacula, GA 30019 2013-07-10
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1790250363 Kailea Jane Zelinka Nurse Practitioner 844 Bryan Cir, Grovetown, GA 30813-8202 2018-10-09
1093237604 Lindsey Marie Prozzillo Nurse Practitioner 1405 Clifton Rd Se, Atlanta, GA 30322-0001 2017-07-14
1831456441 Preeti Noronha Nurse Practitioner 1095 N Jamestown Rd Apt B, Decatur, GA 30033-3614 2012-04-19
1851683080 Kara Wochele Hogan Nurse Practitioner 101 W Ponce De Leon Ave # 242, Decatur, GA 30030-2528 2011-05-05
1285271429 Anah Bhatia Nurse Practitioner 1446 Harper St, Augusta, GA 30912-0012 2019-12-06
1255832754 Tiffany Scott Nurse Practitioner 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 2018-02-21
1710404967 Sarah Becher Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-08-28
1194249789 Daniel Danilczyk Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-07-26
1275063174 Kimberly Lynn Kolleda Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-06-14
1740640127 Michelle Dinser Nurse Practitioner 3121 Hudson Pond Ln, Marietta, GA 30062-6697 2016-02-29
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Competitor

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City DACULA
Zip Code 30019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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