SUSAN E. MOODY (NPI# 1194773648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194773648 |
| Entity Type | Individual |
| Full Name | SUSAN E. MOODY |
| Other Name | SUSAN E. MOODY |
| Credential | APRN |
| Practice Address |
2101 Newnan Crossing Blvd E Newnan GA 30265 |
| Mailing Address |
1425 Highway 34 E Newnan GA 30265-1323 |
| Practice Telephone | 6785526200 |
| Mailing Telephone | 7703043724 |
| Mailing Fax Number | 7703043726 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN189877 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Commerce Dr, Ste 200, Peachtree City, GA 302693530 | 6785787636 | 6782161885 |
| 1425 Highway 34 E, Newnan, GA 302651323 | 7703043724 | 7703043726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649580374 | Susan D Moody | Massage Therapist | 1514 7th Ave, Terre Haute, IN 47807-1218 | 2010-10-15 |
| 1730299413 | Susan W Moody | Counselor | 700 E Firmin St Ste 206, Kokomo, IN 46902-2375 | 2006-08-30 |
| 1710308762 | Susan Virginia Moody | Psychiatry & Neurology | 210 Medical Dr, Natchitoches, LA 71457-6052 | 2013-12-18 |
| 1295924835 | Susan Moody | Community Health Worker | 500 Crown Point Cir Ste 110, Grass Valley, CA 95945-9514 | 2007-10-19 |
| 1598881294 | Susan Pauline Moody | Occupational Therapy Assistant | 699 S Park Rd, Charleston, WV 25304-2627 | 2007-03-22 |
| 1811048333 | Susan Moody | Internal Medicine | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2007-01-12 |
| 1982790911 | Susan Annette Moody | Speech-Language Pathologist | 1900 W Schunior St, Edinburg, TX 78541 | 2006-10-05 |
| Street Address |
2101 NEWNAN CROSSING BLVD E |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508369596 | Barbara Gurciullo | Occupational Therapy Assistant | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2018-03-15 |
| 1982127908 | Genesis Physiatry LLC | Physical Medicine & Rehabilitation | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2017-07-21 |
| 1205375896 | Scott Medical Consultants | Physical Medicine & Rehabilitation | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2017-02-16 |
| 1982019006 | Encompass Health Rehabilitation Hospital of Newnan, LLC | Rehabilitation Hospital | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2014-06-26 |
| 1386085090 | Tekesa M Walker | Nurse Practitioner | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2013-07-10 |
| 1841438520 | Natasha Stinson | Internal Medicine | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2009-02-03 |
| 1740377100 | Derek S Scott I | Physical Medicine & Rehabilitation | 2101 Newnan Crossing Blvd E, Newnan, GA 30265 | 2006-10-06 |
| 1336190776 | Ismailu O Agbaje | Physical Medicine & Rehabilitation | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2006-05-12 |
| 1891746228 | Amanu Physical Medicine & Rehabilitation, LLC | Physical Medicine & Rehabilitation | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1679173116 | Michelle Verone Johnson - Monteith | Nurse Practitioner | 329 Granite Way, Newnan, GA 30265-6065 | 2020-10-26 |
| 1205445335 | Christy Lynne Duffey | Nurse Practitioner | 40 Brightling Ln, Newnan, GA 30265-5626 | 2020-07-24 |
| 1285268094 | Julie L Boyce | Nurse Practitioner | 35 Ashley Woods Dr, Newnan, GA 30263-5462 | 2020-03-02 |
| 1720622921 | Peggy Darlene Troyer | Nurse Practitioner | 1320 Moore Rd, Newnan, GA 30263-5221 | 2019-10-30 |
| 1427511260 | Johnny Glenn Mulliniks | Nurse Practitioner | 371 Newnan Crossing Byp Ste 103, Newnan, GA 30265-3888 | 2019-04-09 |
| 1346737582 | Crista Jonte' Ivory | Nurse Practitioner | 772 Greison Trl Ste H, Newnan, GA 30263-1498 | 2018-04-13 |
| 1679071260 | Dana M. Sellers | Nurse Practitioner | 54 Harris Ct, Newnan, GA 30263-4663 | 2018-01-29 |
| 1477095552 | Nicole P Irwin | Nurse Practitioner | 309 Briandwood Dr, Newnan, GA 30265-6279 | 2016-11-07 |
| 1821540048 | The Little Clinic of Georgia LLC | Nurse Practitioner | 1751 Newnan Crossings Boulavard East, Newnan, GA 30265 | 2016-11-04 |
| Find all providers in NEWNAN | ||||
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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.