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ELIJAH CALE MOODY
NPI 1992641146
Student in an Organized Health Care Education/Training Program in College Dale, TN

Active since April 28, 2026
5119 CITY STATION DR, COLLEGE DALE, TN 37363(762) 294-0290 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elijah Cale Moody NPPES

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

ELIJAH CALE MOODY (NPI 1992641146) is an individual student in an organized health care education/training program in College Dale, Tennessee and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1992641146
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH CALE MOODY
Location Address5119 CITY STATION DRCollege Dale, TN 37363-7153
Mailing Address5119 City Station DrCollege Dale, TN 37363-7153 · (762) 294-0290
Phone(762) 294-0290
Sole ProprietorYes
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1992641146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
5119 CITY STATION DR, College Dale, TN 37363
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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 Elijah Moody's NPI number?

The NPI number for Elijah Moody is 1992641146. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Elijah Moody located?

Elijah Moody practices at 5119 City Station Dr, College Dale, TN 37363. The listed phone number is (762) 294-0290.

What is Elijah Moody's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elijah Moody was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.