P Praxis·MD
● Active Type 1 · Individual

Charles Bruce Moomey JR., MD

Surgery·Gainesville, GA· NPI 1689671364 · Enumerated 2005 · 20 years on NPI
Moomey is 1 of 12 surgery providers in Gainesville and 1 of 268 in Georgia.
NPI age
20 years
Enumerated 2005-07-07
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 6782074000fax 7705312435
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705334786

Additional practice locations

12 secondary locations on file with NPPES.

Location 2
541 Historic Hwy 441-N
Demorest, GA 305350037
📞 6782074000fax 7705312435
Location 3
316 N Broad St
Winder, GA 306802150
📞 6782074000fax 7705312435
Location 4
1400 River Pl
Braselton, GA 305175600
📞 6782074000fax 7705312435
Location 5
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6782074000fax 7705312435
Location 6
743 Spring St Ne
Gainesville, GA 305013715
📞 6782074000fax 7705312435
Location 7
631 Professional Dr
Lawrenceville, GA 300463367
📞 6782044000fax 6782074307
Location 8
3620 Howell Ferry Rd
Duluth, GA 300963178
📞 6782074000fax 7705312435
Location 9
1120 Peachtree Industrial Blvd
Suwanee, GA 300242322
📞 6782074620fax 6782074307
Location 10
1270 Friendship Rd
Braselton, GA 305175608
📞 6782074000fax 6782074071
Location 11
801 Austin Dr
Demorest, GA 305354513
📞 6782074000fax 7705312435
Location 12
495 Highway 400
Dahlonega, GA 305336823
📞 6782074000fax 7705312435
Location 13
835 Austin Dr
Demorest, GA 305354513
📞 6782074000fax 7705312435

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #049923 taxonomy 2086S0129X

Identifiers

TypeValueNotes
01 (GA) GRP7416 MEDICARE GROUP NUMBER
05 (GA) 00899951A

Practice context

Part of a multi-provider practice. 151 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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