MRS. ANDREA D MOODY N.P.
NPI 1285660365
Nurse Practitioner in Waycross, GA

Active since June 23, 2006PECOS Enrolled
1921 ALICE ST, 4B, WAYCROSS, GA 31501(912) 285-5690 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Andrea D Moody N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA D MOODY N.P. (NPI 1285660365) is an individual nurse practitioner in Waycross, Georgia, licensed in Georgia (RN055947 NP) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285660365
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ANDREA D MOODYCredential: N.P.
Location Address1921 ALICE ST, 4BWaycross, GA 31501-6200
Mailing Address1921 Alice St, 4bWaycross, GA 31501-6200 · (912) 285-5690
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 1, 2022
✔ NPI 1285660365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN055947 NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1921 ALICE ST, Waycross, GA 31501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea D Moody N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1900 TEBEAU ST
Waycross, GA 31501
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1921 ALICE ST, SUITE 5A
WAYCROSS, GA 31501
Family Medicine
1921 ALICE ST, SUITE 4A
WAYCROSS, GA 31501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Moody's NPI number?

The NPI number for Andrea Moody is 1285660365. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Andrea Moody located?

Andrea Moody practices at 1921 Alice St 4B, Waycross, GA 31501. The listed phone number is (912) 285-5690.

What is Andrea Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Moody enrolled in Medicare?

Yes. Andrea Moody is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Moody reassigns Medicare benefits to Mayo Clinic Health System In Waycross, Inc. (Waycross, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Moody was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.