AUSTIN MOODY (NPI# 1881004299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881004299 |
| Entity Type | Individual |
| Full Name | AUSTIN MOODY |
| Credential | M.D. |
| Practice Address |
4348 Southpoint Blvd Ste 100 Jacksonville FL 32216-0903 |
| Mailing Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 9042811915 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TRN# 19692 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 Lake Lucien Dr Ste 112, Maitland, FL 327517233 | 3212079029 | 8444107960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396827440 | Austin Moody | General Practice | 2020 Goldring Ave, Suite 403, Las Vegas, NV 89106-4000 | 2006-10-19 |
| 1053341875 | Austin Randall Moody II | Psychiatry & Neurology | 7400 Merton Minter St, Neuro Section, Mail Stop 111d, San Antonio, TX 78229-4404 | 2006-07-04 |
| Street Address |
4348 SOUTHPOINT BLVD STE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356307649 | Peter W Frechette | Family Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-04-25 |
| 1205476793 | Rmed LLC | Pediatrics | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2020-01-13 |
| 1811537491 | Rmed LLC | Pediatrics | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2020-01-10 |
| 1891212973 | Christopher B Howard | Neurological Surgery | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2017-08-29 |
| 1922454586 | Lashaniqua Hamilton | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2016-05-12 |
| 1124395272 | Mary Kae Sandidge | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2011-11-17 |
| 1699072256 | Peri M. Sert | Family Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2011-02-17 |
| 1558488072 | Robert Markham Lancaster | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2007-03-22 |
| 1629146915 | Carrie Gilliam Baker | Internal Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-12-04 |
| 1295755833 | Cherron Michelle Johnson | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| 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.