Michael Shannon Moody (NPI# 1952466583, PAC ID# 5597939439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952466583 |
| PAC ID by PECOS | 5597939439 |
| Professional Enrollment ID | I20111111000090 |
| Full Name | Michael Shannon Moody |
| Address |
8464 Adair St Douglasville GA 30134-1839 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8464 Adair St, Douglasville, GA 30134-1839 |
| Street Address |
8464 ADAIR ST |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30134-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Paine | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Jennifer L Hayes | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Lucy Schmidt Sugg | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Rhona A Hyman | Nurse Practitioner | Wellstar Medical Group, LLC | 9280 Hwy 5 H, Douglasville, GA 30134-1501 |
| Albert M Edwards | Family Medicine | 9280 Hwy 5 D, Douglasville, GA 30134-1501 | |
| Mohamad A Hamki | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Dominic I Asika | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Michelle Huggins | Internal Medicine | 6934 Hwy 78, Douglasville, GA 30134-1604 | |
| David M Lebhaft | Chiropractic | 6602 Church St, Douglasville, GA 30134-1808 | |
| Felicia L. Berry | Psychologist, Clinical | 6576 Church St, Douglasville, GA 30134-1884 | |
| Find all physicians in zip 30134 | |||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DOUGLASVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Shannon Moody.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.