GREGG PHILIP MOODY (NPI# 1982647731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982647731 |
| Entity Type | Individual |
| Full Name | GREGG PHILIP MOODY |
| Credential | MD |
| Practice Address |
15242 Greenfield Dr Athens AL 35613-2897 |
| Practice Telephone | 2562332914 |
| Practice Fax Number | 2562309005 |
| Mailing Telephone | 2562332914 |
| Mailing Fax Number | 2562309005 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 00027450 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009937807 | 05 | |
| AL | BCBS OF AL | 510-03990 | 01 |
| Street Address |
15242 GREENFIELD DR |
| City | ATHENS |
| State | AL |
| Zip Code | 35613-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
| 1881142099 | Sheri L Korby | Audiologist | 15232 Greenfield Dr., Athens, AL 35613 | 2016-09-16 |
| 1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1669622320 | Robin Dollar St Pierre | Nurse Practitioner | 22136 Medical Village Drive, Athens, AL 35613 | 2008-09-30 |
| 1639329402 | Adam Marc Simpson | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2008-09-29 |
| 1912050352 | Valley Ent Assoc. P.C. | Specialist | 15232 Greenfield Dr, Athens, AL 35613 | 2007-01-19 |
| 1588745947 | Michael Lynn Hedgepeth | Chiropractor | 27453 Capshaw Road Suite B, Athens, AL 35613 | 2006-10-18 |
| 1881781268 | Athens Eye Care Center, P.C. | Optometrist | 22984 Us Highway 72, Athens, AL 35613 | 2006-10-06 |
| Find all providers in zip 35613 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1902249139 | Centrael Tyson Evans | Ophthalmology | 140 Trinity Pl Bldg B, Athens, GA 30607-2100 | 2013-04-08 |
| 1912263575 | Danielle C Ortman | Ophthalmology | 75 Hospital Dr Ste 110, Athens, OH 45701-2858 | 2012-04-09 |
| 1073550356 | Martine P Adogu | Ophthalmology | 1440 N Chase St, Athens, GA 30601-1850 | 2006-06-02 |
| 1467406983 | Keller, Crymes, & Demarco LLC | Ophthalmology | 105 Trinity Pl., Athens, GA 30607-2112 | 2006-05-20 |
| 1003869348 | Cleveland Eye Clinic Inc PC | Ophthalmology | 1609 Decatur Pike, Athens, TN 37303-2472 | 2006-05-18 |
| 1629051214 | Victor A. Crosby | Ophthalmology | 140 Trinity Pl, Bldg B, Athens, GA 30607-2100 | 2005-11-28 |
| 1356341119 | Jing Dong | Ophthalmology | 651 S Milledge Ave, Athens, GA 30605-1250 | 2005-07-22 |
| 1497758460 | Thad David Hardin | Ophthalmology | 1260 S Palestine St, Athens, TX 75751-3619 | 2005-05-24 |
| 1326503699 | Tennessee Eye Care Specialists, Pllc | Ophthalmology | 902 W Madison Ave, Athens, TN 37303-3432 | 2019-01-31 |
| Find all providers in ATHENS | ||||
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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.