MICHAEL SHANNON MOODY (MD) – Family Medicine Physician, NPI 1952466583
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for MICHAEL SHANNON MOODY (MD)
8464, Adair Street, Downtown Douglasville, Douglasville, Douglas County, Georgia, 30134, United States
DOUGLASVILLE, GA 301341839
Phone: (770) 949-9804
Fax: (770) 949-9842
Type: Mailing
8464 ADAIR SREET
DOUGLASVILLE, GA 301341877
Phone: (770) 949-9804
Fax: (770) 949-9842
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $510.
Total Amount is formed as General ($510) + Research ($0) + Ownership ($0) = $510.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($177).
Total Amount
$510
General + Research + Ownership
Payments
20
Total payment records
General Amount
$510
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $177 |
| AstraZeneca Pharmaceuticals LP | $122 |
| Merz North America, Inc. | $116 |
| MERZ NORTH AMERICA, INC. | $30 |
| IDORSIA PHARMACEUTICALS US INC | $19 |
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: 2011-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111111000090 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 127 | 106 | $0 |
| 81003 | Automated urinalysis test | 122 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 82 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 53 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 35 | $0 |
Insurance plans in this area (ZIP 30134)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 82270 | Stool analysis for blood to screen for colon tumors | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA |
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