DR. KATHERINE RUSSELL MOODY (M.D.) – Family Medicine Physician, NPI 1134482474

DR. KATHERINE RUSSELL MOODY (M.D.) is a healthcare provider. based in Savannah, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0116025003 (VA). The NPI Number for DR. KATHERINE RUSSELL MOODY (M.D.) is 1134482474

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE RUSSELL MOODY (M.D.)
NPI
1134482474
Phone
(912) 350-1316
Address
4700 Waters Ave
Enumeration Date
21 June 2012
Last Update Date
16 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2564294000
Graduation Year
2011 (15 years ago)
PAC ID
6800020769
Group Practice PAC ID
2163876491
Professional Enrollment ID
I20171115003967
Address ID
AL358016455HU1XXXXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. KATHERINE RUSSELL MOODY (M.D.)

  • 4700 Waters Ave

    Savannah, GA 314046220

    Phone: (912) 350-1316

    Fax: (912) 350-2156

    Type: Location

  • 301 GOVERNORS DR SW

    HUNTSVILLE, AL 358015123

    Phone: (256) 536-5511

    Fax: (256) 551-4699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170403001199IHospitalistGATBD
I20171115003967IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes299105$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14264$0
99239Hospital discharge day management, more than 30 minutes9392$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4040$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 31404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163876491View full group profile
NameSpecialtyState
Emergency MedicineAL
Emergency MedicineTX
Family Practice, Emergency MedicineAL
Internal Medicine, HospitalistGA
Nurse PractitionerAL
Emergency MedicineAL
Family Practice, Emergency MedicineFL
Hospitalist, Family Practice, HospitalistND
Nurse PractitionerUT
Emergency MedicineFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KATHERINE RUSSELL MOODY (M.D.)?
DR. KATHERINE RUSSELL MOODY (M.D.) — NPI 1134482474 — is the standard way to identify this listing.
Does CMS list DR. KATHERINE RUSSELL MOODY (M.D.) as active?
Yes — DR. KATHERINE RUSSELL MOODY (M.D.) is active in the NPI listing used on this page.
What is DR. KATHERINE RUSSELL MOODY (M.D.)'s specialty?
The listing groups DR. KATHERINE RUSSELL MOODY (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATHERINE RUSSELL MOODY (M.D.) on a map?
Expect Savannah, Georgia as a primary anchor for DR. KATHERINE RUSSELL MOODY (M.D.) unless the record lists multiple sites.
Why does DR. KATHERINE RUSSELL MOODY (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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