Kristie Moore (NPI# 1801290242, PAC ID# 7810219961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801290242 |
| PAC ID by PECOS | 7810219961 |
| Professional Enrollment ID | I20141201001633 |
| Full Name | Kristie Moore |
| Organization Legal Name | EFFINGHAM HOSPITAL INC |
| Address |
3 Hidden Creek Dr Guyton GA 31312-4590 |
| Phone Number | 9127728670 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254628092 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111306 | EFFINGHAM HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 9127728670 | EFFINGHAM HOSPITAL INC |
| Organization Legal Name | EFFINGHAM HOSPITAL INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claude Levon Sanks Iii | Internal Medicine | Effingham Hospital Inc | 459 Hwy 119 S, Suite A, Springfield, GA 31329-3021 |
| Anna Banister | Nurse Practitioner | Effingham Hospital Inc | 800 Towne Park Dr, Suite 100, Rincon, GA 31326-5160 |
| Romualdo M Laygo | Family Medicine | Effingham Hospital Inc | 3 Hidden Creek Dr, Guyton, GA 31312-4590 |
| Felicia D Kennicott | Physician Assistant | Effingham Hospital Inc | 100 Goshen Rd, Rincon, GA 31326-5744 |
| Rhonda D Jones | Nurse Practitioner | Effingham Hospital Inc | 110 Goshen Rd, Rincon, GA 31326-5744 |
| John R Bennett | Internal Medicine | Effingham Hospital Inc | 459 Hwy 119 S, Suite A, Springfield, GA 31329-3021 |
| Katrin Usifo | Internal Medicine | Effingham Hospital Inc | 459 Ga Hwy 119 S, Springfield, GA 31329-3021 |
| Stephanie T Reese | Family Medicine | Effingham Hospital Inc | 100 Goshen Rd, Rincon, GA 31326-5744 |
| Kristal Lynne Jaster | Physician Assistant | Effingham Hospital Inc | 459 Hwy 119 S, Suite A, Springfield, GA 31329-3021 |
| Xiaofeng F Zhong | Family Medicine | Effingham Hospital Inc | 3 Hidden Creek Dr, Guyton, GA 31312-4590 |
| Street Address |
3 HIDDEN CREEK DR |
| City | GUYTON |
| State | GA |
| Zip | 31312-4590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Romualdo M Laygo | Family Medicine | Effingham Hospital Inc | 3 Hidden Creek Dr, Guyton, GA 31312-4590 |
| Xiaofeng F Zhong | Family Medicine | Effingham Hospital Inc | 3 Hidden Creek Dr, Guyton, GA 31312-4590 |
| City | GUYTON |
| Zip Code | 31312 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GUYTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.