DR. DAVID LAVON MOORE (NPI# 1144431479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144431479 |
| Entity Type | Individual |
| Full Name | DR. DAVID LAVON MOORE |
| Credential | MD |
| Practice Address |
4101 Cascade Circle Soperton GA 30457 |
| Mailing Address |
1471 Coleman Register Road Rentz GA 31075-0321 |
| Practice Telephone | 4789841420 |
| Practice Fax Number | 6788400026 |
| Mailing Telephone | 4789841420 |
| Mailing Fax Number | 6788400026 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 023639 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
| 1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
| 1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
| Street Address |
4101 CASCADE CIRCLE |
| City | SOPERTON |
| State | GA |
| Zip Code | 30457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588654388 | Emanuel County Hospital Authority | Clinic/Center | 601 Third St, Soperton, GA 30457 | 2005-10-24 |
| 1942303557 | Ernest Wesley Crowe | Pharmacist | 112 W Main St, Soperton Pharmacy Inc, Soperton, GA 30457 | 2006-09-07 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1457467219 | Joel Scott Bray | Family Medicine | 601 3rd St N, Soperton, GA 30457-1160 | 2006-08-22 |
| 1184738429 | John Louis Pournelle Jr. | Dentist | 607 3rd St N, Soperton, GA 30457-1160 | 2006-08-17 |
| 1558339838 | Soperton Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 112 Main St W, Soperton, GA 30457-1169 | 2006-03-10 |
| 1952441180 | Richard Marion Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-07 |
| 1215078969 | Adele Diane Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1316088040 | Blakely Sutton Dennard | Pharmacist | 119 2nd St N, Soperton, GA 30457-1177 | 2007-02-08 |
| 1851441117 | Coastal Care Services, Inc. | Assisted Living Facility | 105 College St N, Soperton, GA 30457-1207 | 2007-01-11 |
| Find all providers in zip 30457 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID LAVON MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.