23d Medgrp-Moody
23d Medgrp-Moody is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Moody Afb, GA, holding Type 2 (organization) NPI 1316907744 since 2006. The authorized official on file is Jen Lewandowski, Air Force Ubo Analyst.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1316907744 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 23d Medgrp-Moody |
| Other name | <Unavail> |
| Parent organization | 23d Medgrp-Moody |
| Practice address | 3278 MITCHELL BLVD, Moody Afb, GA, 31699 |
| Phone | 2292573041 |
| Fax | 2292575528 |
| Enumeration date | 2006-03-28 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Air Force Ubo Analyst |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689773350 | Other | GA | ASSOCIATED PHARMACY NPI |
| 1142784 | Other | GA | NCPDP |
Copy-ready billing details
Provider: 23d Medgrp-Moody NPI: 1316907744 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 3278 MITCHELL BLVD, Moody Afb, GA, 31699
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407830615 | Jovanna Gaines | Individual | Clinical Social Worker | Moody Afb, GA |
| 1235100348 | Rachael Dudley | Individual | Clinical Social Worker | Moody Afb, GA |
| 1710947767 | Gordon Campbell | Individual | Physician Assistant | Moody Afb, GA |
| 1346207610 | Robert Niewoonder | Individual | Physician Assistant | Moody Afb, GA |
| 1902850886 | Angela Brown | Individual | Psychiatry Physician | Moody Afb, GA |
| 1225136500 | Charnell Smith-Akpassa | Individual | Clinical Social Worker | Moody Afb, GA |
| 1558442178 | Barbara Gwinn | Individual | General Practice Physician | Moody A F B, GA |
| 1194898635 | Lashaun Vetzel | Individual | Medical Physician Assistant | Moody Afb, GA |
Verify this record
Cross-check NPI 1316907744 against the authoritative CMS record: view 23d Medgrp-Moody on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for 23d Medgrp-Moody?
Who is the authorized official for 23d Medgrp-Moody?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.