ROBERT MOODY
NPI 1881488955
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 05, 2025PECOS Enrolled
920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-1010(901) 448-1122 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Moody NPPES

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

ROBERT MOODY (NPI 1881488955) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881488955
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROBERT MOODY
Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438
Mailing Address910 Madison Ave Ste 409Memphis, TN 38103-3403 · (901) 448-1010 · Fax (901) 448-1122
Fax(901) 448-1122
Sole ProprietorNo
Enumeration DateApril 5, 2025
NPPES CertifiedApril 5, 2025
NPI 1881488955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Moody 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.

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.

General Acute Care Hospital
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881488955, enumerated as an "individual" on April 05, 2025.

The provider is located at 920 MADISON AVE STE 447 MEMPHIS, TN 38103 and the phone number is (901) 448-1010.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.