P Praxis·MD
● Active Type 1 · Individual

Mutinhima Roth Moyo, MD

Surgery·Cordele, GA· NPI 1497763015 · Enumerated 2006 · 19 years on NPI
Moyo is 1 of 9 surgery providers in Cordele and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-08-03
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
902 N 7th St
Cordele, GA 310153234
📞 2292763100
Mailing address
55 Whitcher St Ne Ste 130
Marietta, GA 300601156
📞 7704280462fax 7704278001

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
95 Collier Rd Nw, Suite 6500
Atlanta, GA 303091796
📞 4043515959
Location 3
55 Whitcher St Ne Ste 130
Marietta, GA 300601156
📞 7704280462 x08572fax 7704278001
Location 4
305 W Jackson St Ste 300
Carbondale, IL 629011474
📞 6184573006

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #053004IL license #036139289 taxonomy 208600000X
  • Surgery
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    IL license #036139289 taxonomy 2086S0127X

Identifiers

TypeValueNotes
05 (GA) 748065683A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 52 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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