MARTHA MICHELLE MOORE
NPI 1144739533
Nurse Practitioner - Family in Decatur, GA

NPI Status: Active since September 28, 2017

Contact Information

2799 LAWRENCEVILLE HWY STE 107
DECATUR, GA
ZIP 30033
Phone: (678) 739-1879

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  • Individual
  • Female
  • Years of Experience 9
  • Nurse Practitioner
  • Family
  • Accepts Medicare Approved Payment

About MARTHA MOORE

This page provides the complete NPI Profile along with additional information for Martha Moore, a provider established in Decatur, Georgia with a medical specialization in Nurse Practitioner, focusing in family and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1144739533 assigned on September 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 222920 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1144739533
Provider Name
MARTHA MICHELLE MOORE
Gender
Female
Entity Type
Individual
Location Address
2799 LAWRENCEVILLE HWY STE 107 DECATUR, GA 30033
Location Phone
(678) 739-1879
Mailing Address
2799 LAWRENCEVILLE HWY STE 107 DECATUR, GA 30033
Mailing Phone
(678) 739-1879
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
09-28-2017
Last Update Date
02-18-2025
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A nurse practitioner (NP) like Martha Moore is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 3480 Preston Ridge Rd Ste 425
    Alpharetta, GA 30005
    (773) 292-4800
  • Piedmont Henry Hospital 1133 Eagles Landing Pkwy
    Stockbridge, GA 30281
    (678) 575-7992

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
222920
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN1035743 (DC)
2163W00000XNursing Service Providers

Registered Nurse

RN222920 (GA)
3163W00000XNursing Service Providers

Registered Nurse

95041728 (CA)
4163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

222920 (GA)

Medicare Participation & PECOS Enrollment Status

Martha Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7113272410

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180608001135

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144739533
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841431856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 4 + 3 + 1 + 8 + 5 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1144739533 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245470129DR. TIMOTHY L MELTON D. MIN.
Individual
Counselor (Professional)2799 LAWRENCEVILLE HWY STE 107
DECATUR, GA 30033
(770) 621-9161
1619575834THE IV SPOT, LLC.
Organization
Clinic/Center (Rehabilitation)2799 LAWRENCEVILLE HWY STE 107
DECATUR, GA 30033
(678) 739-1879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144739533, enumerated in the NPI registry as an "individual" on September 28, 2017

The provider is located at 2799 Lawrenceville Hwy Ste 107 Decatur, Ga 30033 and the phone number is (678) 739-1879

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 9 years of experience.

This NPI record was last updated on September 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.