Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Terry Lee Mooty, CAA

Individual provider Anesthesiologist Assistant · NPI 1508588948

Terry Lee Mooty, CAA is an Anesthesiology Assistant in Madison, Wisconsin. Qualified in 2022, 4 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and works from 10 locations. Licensed in Georgia and Wisconsin.

Years since qualifying
4
Licensed in
GA, WI
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (470) 644-1274
  • 101 Saint Josephs Candler Dr, Pooler, GA 31322-9584 — (912) 737-2231
  • 247 S Main St, Reidsville, GA 30453-4605 — (912) 557-1207
  • 5354 Reynolds St Ste 424, Savannah, GA 31405-6011 — (912) 819-5999
  • 7002 Hodgson Memorial Dr Ste 105, Savannah, GA 31406-1517 — (912) 355-7214
  • 11705 Mercy Blvd, Savannah, GA 31419-1711 — (912) 819-4100
  • 11705 Mercy Blvd, Savannah, GA 31419-1711 — (912) 819-4100
  • 210 E Derenne Ave, Savannah, GA 31405-6736 — (912) 644-5300
  • 5353 Reynolds St, Savannah, GA 31405-6015 — (912) 819-6000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 627 (WI)
Anesthesiologist Assistant Taxonomy 367H00000X
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 11210 (GA)

Record details

NPI number1508588948
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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