GEORGE RICHARD MOORE (NPI# 1235153586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235153586 |
| Entity Type | Individual |
| Full Name | GEORGE RICHARD MOORE |
| Credential | M.D. |
| Practice Address |
1265 Hwy 54 W Fayetteville GA 30214 |
| Practice Telephone | 7709975714 |
| Practice Fax Number | 7709972810 |
| Mailing Telephone | 7709975714 |
| Mailing Fax Number | 7709972810 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 012525 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00393225A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935423 | George Thomas Moore | Counselor | 1204 Connors Rd, Snohomish, WA 98290-9625 | 2014-05-21 |
| 1245517895 | George J Moore | Social Worker | 1445 Seacrest Ln Apt 5, Brookings, OR 97415-8133 | 2011-11-10 |
| 1275818171 | George Moore | Pharmacist | 304 Silver Grove St, Las Vegas, NV 89144-4104 | 2011-10-12 |
| 1477885770 | George Michael Moore | Dentist | 2002 45th St, Galveston, TX 77550 | 2010-02-11 |
| 1689882581 | George Henry Moore | General Practice | 8120 Cleburne Hwy, Granbury, TX 76049-2207 | 2007-05-21 |
| 1104990654 | George C Moore | Physician Assistant | 701 Park Ave # 08, Minneapolis, MN 55415-1623 | 2006-11-17 |
| 1669551651 | George Bruce Moore | Dentist | 23203 56th Ave W, Mountlake Terrace, WA 98043-4715 | 2006-11-02 |
| 1588604110 | George Walter Moore | Internal Medicine | 1909 214th Street Se, Suite 211, Bothell, WA 98021 | 2006-06-08 |
| 1851340046 | George W Moore | Preventive Medicine | 96 Martin Ter, Glastonbury, CT 06033-2708 | 2006-05-08 |
| 1700378106 | George Moore | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114 | 2018-05-31 |
| Street Address |
1265 HWY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374308 | William Kilpatrick | Specialist | 1265 Hwy 54 W, Suite 410, Fayetteville, GA 30214 | 2006-07-25 |
| 1700074556 | Barbara F. Law | Nurse Anesthetist, Certified Registered | 1265 Hwy 54 W, Suite 401, Fayetteville, GA 30214 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on GEORGE RICHARD 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.