DR. LISA CAROLYN MOODY (NPI# 1598923021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598923021 |
| Entity Type | Individual |
| Full Name | DR. LISA CAROLYN MOODY |
| Credential | M.D. |
| Practice Address |
3540 Duluth Park Ln Ste 290 Duluth GA 30096-8511 |
| Mailing Address |
3495 Moye Trl Duluth GA 30097-6215 |
| Practice Telephone | 7064899623 |
| Mailing Telephone | 4098778875 |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2018-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | P6470 | TX | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | A129944 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
79247 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
79247 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967061 | Lisa Moody | Registered Nurse | 9707 Richmond Ave, Houston, TX 77042-4606 | 2018-10-02 |
| 1477954642 | Lisa Moody | Registered Nurse | 1035 244th Ave Ne, Redmond, WA 98074-3486 | 2014-09-08 |
| 1871156851 | Lisa Moody | Counselor | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2019-04-16 |
| 1487826855 | Lisa J Moody | Physical Therapist | 5460 Babcock Rd, Suite 100, San Antonio, TX 78240-3901 | 2008-03-26 |
| 1184782922 | Lisa Parker Moody | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2006-12-05 |
| Street Address |
3540 DULUTH PARK LN STE 290 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971214 | Moody Surgical Associates, LLC | Clinic/Center | 3540 Duluth Park Ln Ste 290, Duluth, GA 30096 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
| 1477514321 | Frank Lynn Wolf | Surgery | 324 W Superior St, Ste 1025, Duluth, MN 55802-1777 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668342 | Spa Medical LLC | Surgery | 455 Plum St, Macon, GA 31201-3368 | 2020-08-05 |
| 1356972848 | North Atlanta Plastic Surgery Group LLC | Surgery | 11877 Douglas Rd Ste 102-367, Johns Creek, GA 30005-4325 | 2020-02-03 |
| 1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
| 1093255044 | Southeastern Aesthetic and Reconstructive Surgery | Surgery | 155 Greenville St, Newnan, GA 30263-2630 | 2017-02-24 |
| 1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
| 1871901009 | Southeastern Reconstructive Services LLC | Surgery | 5205 Frederick St Ste B, Savannah, GA 31405-4520 | 2014-07-31 |
| 1730479452 | Olumayowa Pitan Abiodun | Surgery | 2709 Meredyth Dr Ste 340, Albany, GA 31707 | 2011-04-14 |
| 1609175421 | Randal H. Rudderman Md Inc | Surgery | 3400-c Old Milton Pkwy, Ste 450, Alpharetta, GA 30005-3707 | 2011-03-18 |
| 1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
| 1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
| Find all providers with the same taxonomy | ||||
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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.