NPI age
20 years
Enumerated 2005-11-16
● Active
Type 1 · Individual
Winfred Derrick Moody, MD
Moody is 1 of 11 dermatology providers in Lawrenceville and 1 of 483 in Georgia.
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 483 active dermatology providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
565 Old Norcross Rd, Suite #200
Lawrenceville, GA 300464308
Mailing address
2295 Cape Courage Way
Suwanee, GA 300242760
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
-
Legal MedicineThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000821158A |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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