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

Individual provider Legal Medicine · NPI 1124000187

Winfred Derrick Moody, MD is a Dermatology in Lawrenceville, Georgia. Graduated from Medical College of Georgia School of Medicine in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

565 Old Norcross Rd Ste #200
Lawrenceville, GA 30046-4308
Phone: (770) 962-5040
Fax: (770) 962-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 045299 (GA)
Legal Medicine Taxonomy 173000000X · Licence 045299 (GA)

Record details

NPI number1124000187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESFebruary 16, 2012
Mailing address2295 Cape Courage Way, Suwanee, GA 30024-2760

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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