DEBORAH D MOORE


Address: 1157 Forsyth St, Macon, GA 31201-7452
Phone: 4787458581

DEBORAH D MOORE (NPI# 1609869197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609869197
Entity Type Individual
Full Name DEBORAH D MOORE
Credential PAC
Practice Address 1157 Forsyth St
Macon
GA 31201-7452
Mailing Address 2400 Bellevue Rd
Ste 21a
Dublin
GA 31021-2890
Practice Telephone 4787458581
Practice Fax Number 4783280438
Mailing Telephone 4783280281
Mailing Fax Number 4783280438
Enumeration Date 2005-08-30
Last Update Date 2020-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 002158 GA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
002158 GA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
002158 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA RAILROAD MEDICARE DC4061 01
GA RAILROAD MEDICARE P00168580 01
GA 100000662 05

Other Providers DEBORAH MOORE

NPI Name Taxonomy Address Enumeration
1174916340 Deborah Moore Speech-Language Pathologist 1707 Split Fork Dr, Oldsmar, FL 34677-2768 2015-03-12
1598173171 Deborah Moore Registered Nurse 62079 Ault Rd, Belmont, OH 43718-9791 2014-07-28
1548693575 Deborah J Moore Nurse Practitioner 2520 Avenue E, Scottsbluff, NE 69361-1673 2013-08-13
1609114792 Deborah Jane Moore Registered Nurse 172 Fordham Cir, Pueblo, CO 81005-1649 2013-01-23
1407106503 Deborah Chantay Moore Marriage & Family Therapist 17243 Highland Ave, 5a, Jamaica, NY 11432-2847 2012-09-15
1588929384 Deborah Jean Moore Counselor 2001 W Glen Eagle, Edmond, OK 73025-1547 2012-07-08
1235414509 Deborah Joy Moore Doula 2437 N Union Ave, Shawnee, OK 74804-2961 2011-10-18
1558480608 Deborah Jean Moore Physical Therapist 1181 N Williamson St, Giddings, TX 78942-1213 2007-03-28
1154466886 Deborah Jayne Moore Counselor 1601 Medical Center Dr, Suite 7, Edmond, OK 73034-6359 2007-02-20
1356496541 Deborah C Moore Physical Therapist 2266 Highway 92, Springfield, AR 72157-9664 2007-01-25

Office Location

Street Address 1157 FORSYTH ST
City MACON
State GA
Zip Code 31201-7452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003952623 In Stitches PC Specialist 1157 Forsyth St, Suite 200, Macon, GA 31201-7452 2007-01-30
1447363346 Georgia Dermatology &skin Cancer Center, PC Dermatology 1157 Forsyth St, Macon, GA 31201-7452 2006-08-16
1831122357 Lisa A Farmer Specialist 1157 Forsyth St, Suite 200, Macon, GA 31201-7452 2006-07-08
1811961600 Mark W Bonner Pharmacist 1157 Forsyth St, Macon, GA 31201 2006-02-16
1043205388 James B Lekas Physician Assistant 1157 Forsyth St, Macon, GA 31201-7452 2005-09-13
1811981368 John A Broyles Dermatology 1157 Forsyth St, Macon, GA 31201-7452 2005-09-09
1487648648 Myrtle Huntley Sanders Physician Assistant 1157 Forsyth St, Macon, GA 31201-7452 2005-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
Find all providers in zip 31201

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245854348 Monica Bruney Physician Assistant 101 Preston Ct Ste 103, Macon, GA 31210-5771 2020-06-04
1023677895 Kathleen Forbes Matthews Physician Assistant 3735 Bonita Pl, Macon, GA 31204-1309 2019-06-06
1659773018 Joseph T. Smoak Physician Assistant 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 2014-09-17
1821439811 Irene Gung Ho Physician Assistant 3203 Vineville Ave Ste A, Macon, GA 31204 2013-07-08
1528235397 Emmanuel Amwenba Enoghayin Physician Assistant 157 Cambridge Way, Macon, GA 31220-8736 2008-05-12
1801000153 Jennifer L. Hames Physician Assistant 771 Orange St, Macon, GA 31201-2126 2007-05-09
1093847840 Betty Jo Lynn Fancher Physician Assistant 3711 Eisenhower Pkwy, Macon, GA 31206-3672 2007-03-09
1659322105 Christopher B Kelley Physician Assistant 201 Oakleaf Dr, Macon, GA 31210-1924 2006-05-12
1275591828 Delano Parker Physician Assistant 1157 Forsyth Street, Macon, GA 31201 2006-05-03
1245236744 Edward Keith Grant Physician Assistant 3708 Northside Dr, Macon, GA 31210-2404 2005-06-21
Find all providers in MACON

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City MACON
Zip Code 31201

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Dataset Information

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.

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