DR. JOHN GAMMON MOORE M.D. NPI 1629065628

NPI Information

  • NPI: 1629065628
  • Provider Name: DR. JOHN GAMMON MOORE, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11975 MORRIS RD
    SUITE 300
    ALPHARETTA, GA
    ZIP 30005
  • Phone: (770) 521-2295

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NPI Details

DR. John Gammon Moore, M.D. is an obstetrics gynecology in Alpharetta, GA with 44 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. John Gammon Moore, M.D. NPI is 1629065628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

11975 MORRIS RD
SUITE 300
ALPHARETTA, GA
ZIP 30005-419
Phone: (770) 521-2295
Fax: (770) 255-0333

The NPI 1629065628 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood count, hemoglobin (HCPCS:85018)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Screening mammography (HCPCS:77067)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Screening 3d breast mammography (HCPCS:77063)

The enumeration date for this NPI number is 10/4/2005 and was last updated on 5/17/2016.

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
1207V00000XObstetrics & Gynecology024303GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D46176MEDICARE UPINGEORGIA
200030677DMEDICAIDGEORGIA
300030677EMEDICAIDGEORGIA
400030677GMEDICAIDGEORGIA

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: 3/30/2025

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