P Praxis·MD
● Active Type 2 · Organization

Charles B Moomey JR MD

Surgery·Lawrenceville, GA· NPI 1902003841 · Enumerated 2007 · 18 years on NPI
Charles B Moomey JR MD is 1 of 268 surgery organizations in Georgia.
NPI age
18 years
Enumerated 2007-07-02
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moomey
Owner
Last NPPES update
2010-09-01
Source: monthly bulk 2026-05

How this organization compares

Across 268 active surgery providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
631 Professional Drive, Suite 300
Lawrenceville, GA 300463371
📞 7709629977fax 7703399804
Mailing address
631 Professional Drive, Suite 300
Lawrenceville, GA 300463371
📞 7709629977fax 7703399804

Authorized official

Charles Bruce Moomey, M.D.
Owner
📞 7709629977

Individual providers at this organization

10 individual providers on file at this primary practice address.

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
05 (GA) 00899951A

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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