CHARLES B MOOMEY JR MD – NPI #1902003841
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

CHARLES B MOOMEY JR MD is a surgeon located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1902003841 to CHARLES B MOOMEY JR MD on July 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 16 years ago on Sep 01, 2010. 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 CHARLES B MOOMEY JR MD below.

NPI Profile for
CHARLES B MOOMEY JR MD

NPI Number
1902003841
Enumeration Date

(about 19 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
CHARLES B MOOMEY JR MD
Primary location
631 PROFESSIONAL DRIVE
SUITE 300
LAWRENCEVILLE, GA 30046-3371
Phone: (770) 962-9977 Fax: (770) 339-9804
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES MOOMEY
OWNER
Phone: (770) 962-9977
Updated
Identifiers

Identifiers for CHARLES B MOOMEY JR MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA00899951A
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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 GA 049923

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.