MOODY SURGICAL ASSOCIATES LLC NPI 1669971214

NPI Information

  • NPI: 1669971214
  • Provider Name: MOODY SURGICAL ASSOCIATES, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3540 DULUTH PARK LN STE 290
    DULUTH, GA
    ZIP 30096
  • Phone: (706) 489-9623

Map and Directions

Get Directions

NPI Details

MOODY SURGICAL ASSOCIATES, LLC is an ambulatory surgical clinic center in Duluth, GA. MOODY SURGICAL ASSOCIATES, LLC NPI is 1669971214. The provider is registered as an organization entity type.

The provider's business location address is:

3540 DULUTH PARK LN STE 290
DULUTH, GA
ZIP 30096
Phone: (706) 489-9623

The provider's authorized official is Lisa Moody .
The authorized official title is Founder/owner and has the following contact phone number (409) 877-8875.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 11/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.