ROBERT WAYNE MOONEY (NPI# 1013131598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013131598 |
| Entity Type | Individual |
| Full Name | ROBERT WAYNE MOONEY |
| Credential | MD |
| Practice Address |
311 Jones Mill Rd Statesboro GA 30458-4765 |
| Practice Telephone | 9127646236 |
| Practice Fax Number | 9127647063 |
| Mailing Telephone | 9127646236 |
| Mailing Fax Number | 9127647063 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
036828 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790858256 | Robert Mooney | Physical Therapist | 285 W Beamer St, Room A, Woodland, CA 95695-2510 | 2006-11-15 |
| 1609896372 | Robert Arthur Mooney | Spec/Tech, Pathology | University of Rochester Medical Ctr, Box 626, 601 Elmwood Ave., Rochester, NY 14642-0001 | 2006-07-19 |
| 1073530622 | Robert Andrew Mooney | Dentist | 237 Court St, Laconia, NH 03246-3645 | 2006-07-17 |
| 1679573398 | Robert B Mooney Jr. | Family Medicine | 611 University Dr, Ste 215, State College, PA 16801-6552 | 2005-07-22 |
| 1720166887 | Robert P. Mooney | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1013975648 | Robert John Mooney | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| Street Address |
311 JONES MILL RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336167600 | Shawn Ray Williams | Internal Medicine | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-07-17 |
| 1538771159 | Claire Tucker | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2020-08-17 | |
| 1942675491 | Jason Evans | Physician Assistant | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2015-12-09 |
| 1174682546 | Willingway, Inc. | Special Hospital | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338816 | Summit Wellness Group With Flaire Inc | Psychiatry & Neurology | 996 Huff Rd Nw Ste C, Atlanta, GA 30318-4333 | 2020-05-27 |
| 1578183737 | Veda Lara LLC | Psychiatry & Neurology | 1530 Laurel Park Cir Ne, Atlanta, GA 30329-3217 | 2020-04-17 |
| 1023651312 | Atlantic Advanced Branded Center, LLC. | Psychiatry & Neurology | 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096-2806 | 2019-10-20 |
| 1003211467 | Advanced Neuropsychiatric Health Professionals LLC | Psychiatry & Neurology | 2150 Peachford Rd Ste 1, Atlanta, GA 30338-6520 | 2014-10-28 |
| 1124331970 | Albany Addiction Associates, Inc. D/b/a Private Clinic Albany | Psychiatry & Neurology | 2607 Ledo Rd, Albany, GA 31707-1211 | 2010-07-22 |
| 1780811166 | Charles L Whitfield | Psychiatry & Neurology | 3462 Hallcrest Dr Ne, Atlanta, GA 30319-1910 | 2009-06-12 |
| 1003863788 | Family Behavioral Care of Central Ga, PC | Psychiatry & Neurology | 3985 Arkwright Rd, Suite 102, Macon, GA 31210-1774 | 2006-05-28 |
| 1396277968 | Psychiatric Professionals of Georgia | Psychiatry & Neurology | 1490 Distribution Dr Ste 150, Suwanee, GA 30024-2847 | 2017-04-01 |
| 1477097012 | Hope Springs Wellness and Recovery | Psychiatry & Neurology | 800 Kennesaw Ave Nw, Suite 120, Marietta, GA 30060-1051 | 2016-12-16 |
| 1427484492 | Db Chandora Mdpc | Psychiatry & Neurology | 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 | 2013-09-22 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.