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CHARLES B MOOMEY JR MD
NPI 1902003841
Surgery - Vascular Surgery in Lawrenceville, GA

Active since July 02, 2007
631 PROFESSIONAL DRIVE, SUITE 300, LAWRENCEVILLE, GA 30046(770) 962-9977(770) 339-9804 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles B Moomey Jr Md NPPES

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

CHARLES B MOOMEY JR MD (NPI 1902003841) is a healthcare organization registered as a vascular surgery in Lawrenceville, Georgia and active in the NPI registry since July 2007. The organization lists Charles Bruce Moomey, Owner, as its authorized official.

NPPES Registry Identity

NPI1902003841
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCHARLES B MOOMEY JR MD
Location Address631 PROFESSIONAL DRIVE, SUITE 300Lawrenceville, GA 30046-3371
Mailing Address631 Professional Drive, Suite 300Lawrenceville, GA 30046-3371 · (770) 962-9977 · Fax (770) 339-9804
Phone(770) 962-9977
Fax(770) 339-9804
Organization SubpartNo
Authorized OfficialCharles Bruce MoomeyOwner · (770) 962-9977
Enumeration DateJuly 2, 2007
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1902003841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in GA · 049923
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

631 PROFESSIONAL DRIVE, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Identifiers 3

Medicaid00899951AGA
Medicare PIN02BDHZDGA
Medicare PINGRP7416GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

BARBARA O'CALLAGHAN RN, NP
Registered Nurse (Oncology)
631 PROFESSIONAL DRIVE, 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
HUGHSTON CLINIC PC
Durable Medical Equipment & Medical Supplies
631 PROFESSIONAL DRIVE, SUITE 170
LAWRENECEVILLE, GA 30046
Gwinnett County (678) 312-2663
DR. ALEXANDER SAKER JR. M.D.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
SATVIR SINGH M.D.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
WALLACE FORD MARTIN MD
Surgery
631 PROFESSIONAL DRIVE, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
SUDHINDRA K ANEGUNDI MD
Surgery (Vascular Surgery)
631 PROFESSIONAL DRIVE, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
JOHN A. CHANDLER PA
Physician Assistant (Surgical)
631 PROFESSIONAL DRIVE, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 579-1894

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 Charles B Moomey Jr MD's NPI number?

The NPI number for Charles B Moomey Jr MD is 1902003841. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Charles B Moomey Jr MD located?

Charles B Moomey Jr MD is located at 631 Professional Drive Suite 300, Lawrenceville, GA 30046. The listed phone number is (770) 962-9977.

What is Charles B Moomey Jr MD's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Charles B Moomey Jr MD was last updated on September 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.