LISA C. MOODY M.D. – NPI #1598923021
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

LISA MOODY is a surgeon located in DULUTH, GA. NPPES has assigned the NPI number 1598923021 to LISA MOODY on May 31, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 LISA MOODY below.

NPI Profile for
LISA C. MOODY

NPI Number
1598923021
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA C. MOODY
Credentials
M.D.
Primary location
3540 DULUTH PARK LN STE 290
DULUTH, GA 30096-8511
Phone: (706) 489-9623 Fax:
Mailing address
7635 BLANDFORD PL
ATLANTA, GA 30350-5603
Phone: (409) 877-8875 Fax: (770) 676-6876
Sole Proprietor
No
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
GA 79247
2082S0105X
- Plastic Surgery / Surgery of the Hand
GA 79247
208200000X
- Plastic Surgery
CA A129944

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.