Look up the most recent NPI and PECOS records

Sara Moody

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4350 Us 421 S, Lillington, NC 27546-6760

PECOS Enrollment

Based on the most recent information from CMS, provider Sara Moody is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215661558
Provider Type
Individual
Full Name
Moody, Sara
Gender
Female

Sole Proprietor
No
Enumeration Date
7/12/2022
Last Updated
5/17/2025

Contact Information

Practice Location

4350 Us 421 S, Lillington, NC 27546-6760

(910) 893-1210

Unlisted Fax

Mailing Location

3129 Maranka Dr, Angier, NC 27501-5921

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Sara Moody

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bernardo-Pollock, Leny Vanessa

Dave, Meena Patel

Nguyen, Jasmine

Irwin, Hope

Eaton, Karley

Martinez Utrera, Yessuni Del Rocio

Sura, Kavita

Bryan, Brianna Nicole

Johnson, Tiy

Jonas, Hannah Christine