Michael Shannon Moody, MD

Family Medicine Physician · Douglasville, GA

Individual Active NPI

NPI number 1952466583

Practice location

8464 Adair Sreet
Douglasville, GA 30134-1877
Phone
(770) 949-9804
Fax
(770) 949-9842

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NPI record

NPI
1952466583
Entity type
Individual (Type 1)
Enumeration date
December 26, 2006
Last updated
August 31, 2023
Certified
August 31, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Medicine Physician Primary 207Q00000X 037626 GA

Mailing address

8464 Adair St
Douglasville, GA 30134-1839
Phone
(770) 949-9804
Fax
(770) 949-9842

About Dr. Moody

Michael Shannon Moody, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Family Medicine Physician (code 207Q00000X). The practice location is 8464 Adair Sreet, Douglasville, GA 30134-1877. The NPI number 1952466583 was assigned on December 26, 2006 and the record was last updated on August 31, 2023.

Dr. Moody lists a license in the registry: #037626 (GA) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Shannon Moody, MD?

The NPI number is 1952466583.

What is the phone number of Dr. Moody?

The phone number listed for the practice location is (770) 949-9804.

Where is Dr. Moody located?

8464 Adair Sreet, Douglasville, GA 30134-1877.

What is the taxonomy code for Dr. Moody?

The primary taxonomy code is 207Q00000X – Family Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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