MOODY SURGICAL ASSOCIATES, LLC – NPI #1669971214
Clinic/Center

MOODY SURGICAL ASSOCIATES, LLC is an AHC clinic located in DULUTH, GA. NPPES has assigned the NPI number 1669971214 to MOODY SURGICAL ASSOCIATES, LLC on February 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Nov 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOODY SURGICAL ASSOCIATES, LLC below.

NPI Profile for
MOODY SURGICAL ASSOCIATES, LLC

NPI Number
1669971214
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOODY SURGICAL ASSOCIATES, LLC
Primary location
3540 DULUTH PARK LN STE 290
DULUTH, GA 30096
Phone: (706) 489-9623 Fax:
Mailing address
7635 BLANDFORD PL
ATLANTA, GA 30350-5603
Phone: (770) 676-6873 Fax: (770) 676-6876
Organization Subpart
No
Authorized Official
LISA MOODY
FOUNDER/OWNER
Phone: (409) 877-8875
Updated
Certification Date
Nov 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.