MARTHA MICHELLE MOORE NPI 1144739533

NPI Information

NPI: 1144739533
Provider Name: MARTHA MICHELLE MOORE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
PIEDMONT HENRY HOSPITAL
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 575-7992
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Martha Michelle Moore is a family nurse practitioner in Stockbridge, GA. Martha Michelle Moore NPI is 1144739533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PIEDMONT HENRY HOSPITAL
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 575-7992

The NPI 1144739533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 6/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95041728	CALIFORNIA	No
2	163W00000X	Registered Nurse		RN222920	GEORGIA	No
3	163W00000X	Registered Nurse		RN1035743	DISTRICT OF COLUMBIA	No
4	363LF0000X	Nurse Practitioner	Family	222920	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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