NPI age
20 years
Enumerated 2006-03-28
● Active Type 2 · Organization
Subpart
23d Medgrp-Moody
23d Medgrp-Moody is 1 of 46 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lewandowski
Air Force Ubo Analyst
Last NPPES update
2025-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 46 active clinic/center providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 6% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3278 Mitchell Blvd
Moody Afb, GA 316991500
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 316991500
Authorized official
Jen Lewandowski
Air Force Ubo Analyst
📞 7038174030
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Meshva Akwalia, D.O. Pediatrics NPI 1003266073
- Michael Argyle, D.O. Family Medicine NPI 1275971202
- Laura Barrera, MD General Practice NPI 1811570864
- Lawanna Barron Social Worker NPI 1578179958
- Jeremy Berger, D.O. General Practice NPI 1386005718
- Catherine Bernal, DO Pediatrics NPI 1134758337
- Christopher Berrios, IDMT Military Health Care Provider NPI 1124580311
- Christopher Boyd, PA Physician Assistant NPI 1831384866
- Angela Brown, M.D. Psychiatry & Neurology NPI 1902850886
- Heather Brown, IDMT Military Health Care Provider NPI 1467936104
- Gordon Campbell, PA Physician Assistant NPI 1710947767
- Michael Cartwright, RPH Pharmacist NPI 1457428575
- Courtney Carver, PHARMD Pharmacist NPI 1225628308
- Chase Chambers, MD Pediatrics NPI 1851888572
- Emary Climacosa Dentist NPI 1548925712
- Bradley Connahey Military Health Care Provider NPI 1831725381
- Konstantine Dietrich, DDS Dentist NPI 1023479888
- Mark Dudley, MPH, DO Family Medicine NPI 1356484828
- Rachael Dudley, LCSW Social Worker NPI 1235100348
- Samantha Durham, IDMT Military Health Care Provider NPI 1861375768
Specialties
-
Clinic/Center PrimaryThe Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a...
-
Clinic/CenterThat part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a...
-
Military/U.S. Coast Guard PharmacyA Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1689773350 | ASSOCIATED PHARMACY NPI |
| 01 (GA) | 1142784 | NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Moody AFB MTF
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of 23d Medgrp-Moody.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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