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MARK MOODY AA
NPI 1700280351
Anesthesiologist Assistant in Thomasville, GA

Active since October 10, 2014
915 GORDON AVE, THOMASVILLE, GA 31792(334) 279-1450(334) 395-4110 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Moody Aa NPPES

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

MARK MOODY AA (NPI 1700280351) is an individual anesthesiologist assistant in Thomasville, Georgia, licensed in Georgia (7370) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1700280351
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMARK MOODYCredential: AA
Location Address915 GORDON AVEThomasville, GA 31792-6614
Mailing AddressPo Box 2125Columbus, GA 31902-2125 · (334) 279-1450 · Fax (334) 395-4110
Phone(334) 279-1450
Fax(334) 395-4110
Sole ProprietorNo
Enumeration DateOctober 10, 2014
✔ NPI 1700280351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 7370
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
915 GORDON AVE, Thomasville, GA 31792
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Other Providers at the Same Location NPPES 20

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

MADISON GRACE MAXWELL NP
Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2435
DR. PRASHANT BALIGA M.D.
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-8575
DR. CAMILLE DOMINGO MD
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
MELINDA GREENE
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2823
GEREN THOMAS PHARMD
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2948
DANIEL JOSE TORRES
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
GARY DAVIDUK CRNA
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
JACKSON SETH TUCKER AA
Anesthesiologist Assistant
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (800) 232-5703

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 Mark Moody's NPI number?

The NPI number for Mark Moody is 1700280351. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Mark Moody located?

Mark Moody practices at 915 Gordon Ave, Thomasville, GA 31792. The listed phone number is (334) 279-1450.

What is Mark Moody's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

When was this NPI record last updated?

The NPPES record for Mark Moody was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.