David Lawrence Moody (NPI# 1346359197, PAC ID# 7113838715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346359197 |
| PAC ID by PECOS | 7113838715 |
| Professional Enrollment ID | I20040928000103 |
| Full Name | David Lawrence Moody |
| Organization Legal Name | MADDEN MEDICAL CLINIC, LLC |
| Address |
1071 E Franklin St Carthage MS 39051-3699 |
| Phone Number | 6012674562 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880663863 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251315 | BAPTIST MEDICAL CENTER-LEAKE |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250043 | NESHOBA COUNTY GENERAL HOSPITAL |
| 250136 | MERIT HEALTH WOMEN'S HOSPITAL |
| 251300 | LACKEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1071 E Franklin St, Carthage, MS 39051-3699 | 6012674562 | MADDEN MEDICAL CLINIC, LLC |
| Organization Legal Name | MADDEN MEDICAL CLINIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Atkinson | Nurse Practitioner | Madden Medical Clinic, LLC | 1071 E Franklin St, Carthage, MS 39051-3699 |
| Street Address |
1071 E FRANKLIN ST |
| City | CARTHAGE |
| State | MS |
| Zip | 39051-3699 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Atkinson | Nurse Practitioner | Madden Medical Clinic, LLC | 1071 E Franklin St, Carthage, MS 39051-3699 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal H Martin | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| James J Withers | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Randi A Watkins | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| D Stanley Hartness | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| John G Wallace | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Kimberly C Agent | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Samuel Holdiness | Internal Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Neil H Simmons | Optometry | 110 N Van Buren St, Carthage, MS 39051-4126 | |
| Minhthu K Nguyen | Optometry | Carthage Eye Clinic Pa | 201 Hwy 16 E, Carthage, MS 39051-4203 |
| Philip Marler | Optometry | Carthage Eye Clinic Pa | 201 Hwy 16 E, Carthage, MS 39051-4203 |
| Find all physicians in zip 39051 | |||
| City | CARTHAGE |
| Zip Code | 39051 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARTHAGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Lawrence 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.