Michael Shannon Moody, MD | |
8464 Adair Sreet, Douglasville, GA 30134-1877 | |
(770) 949-9804 | |
(770) 949-9842 |
Full Name | Michael Shannon Moody |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 8464 Adair Sreet, Douglasville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952466583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 037626 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angel Heart Homecare & Hospice | East point, GA | Hospice |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Entity Name | Life Care Family Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386921310 PECOS PAC ID: 0042484982 Enrollment ID: O20111110000897 |
Mailing Address | Practice Location Address |
---|---|
Michael Shannon Moody, MD 8464 Adair St, Douglasville, GA 30134-1839 Ph: (770) 949-9804 | Michael Shannon Moody, MD 8464 Adair Sreet, Douglasville, GA 30134-1877 Ph: (770) 949-9804 |
Dr. Kehinde Opeoluwa Idowu, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2585 Fax: 678-838-2587 | |
Dr. Veeni S Kumar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3327 Highway 5, Douglasville, GA 30135 Phone: 770-577-7030 Fax: 770-577-6844 | |
Dr. Dingane Baruti, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6842 Douglas Blvd Ste K, Douglasville, GA 30135 Phone: 404-937-3508 | |
Ms. Valencia R Burruss, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134 Phone: 678-715-2993 Fax: 678-715-2827 | |
Mrs. Ronnette J Belton, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 6842 Douglas Blvd, Douglasville, GA 30135 Phone: 313-400-9869 | |
Chinomnso Ekeke Onyekaba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8820 Hospital Dr, Douglasville, GA 30134 Phone: 770-947-3000 Fax: 770-947-3012 | |
Vance W Boddy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Pkwy Ste C, Douglasville, GA 30134 Phone: 770-942-1440 Fax: 770-942-2929 |