Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Winfred Derrick Moody, MD

Dermatology Physician in Lawrenceville, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124000187

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Registry record

Entity type Individual (Type 1)

Name Winfred Derrick Moody

Credential MD

Sex Male

Practice address 565 Old Norcross Rd, Suite #200, Lawrenceville, GA, 30046

Phone (770) 962-5040

Fax (770) 962-5056

Enumeration date Nov 16, 2005

Last updated in NPPES Feb 16, 2012

Taxonomy & licenses

173000000X Legal Medicine Other Service Providers · License 045299 (GA) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 045299 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000821158A	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1124000187 active?

Yes, as of the latest NPPES snapshot, NPI 1124000187 is active (record last updated 2012-02-16).

How do I verify Winfred Moody's NPI record?

Cross-check NPI 1124000187 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Jon Stahlman Allergy & Immunology Physician · Lawrenceville, GA NPI 1558303875 G. Young Family Nurse Practitioner · Lawrenceville, GA NPI 1043229537 The Allergy & Asthma Center, LLC Allergy & Immunology Physician · Lawrenceville, GA NPI 1467671305 Poneh Heine Allergy & Immunology Physician · Lawrenceville, GA NPI 1881822492 Herchelle Haysman Cohen Adult Health Nurse Practitioner · Lawrenceville, GA NPI 1518262641 Jamie Lamb Family Nurse Practitioner · Lawrenceville, GA NPI 1851856934 Pregnancy Resource Center of Gwinnett Community Health Clinic/Center · Lawrenceville, GA NPI 1942834411

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-16.