Mrs Audra Elizabeth Moore, CRNP | |
6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093-5536 | |
(678) 205-1959 | |
Not Available |
Full Name | Mrs Audra Elizabeth Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 6131 S Norcross Tucker Rd Ste 6, Norcross, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194107631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN266940 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | 1-122815 (Alabama) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Primary And Urgent Care Of Alabama, Llc | 1254741515 | 3 |
Comprehensive Primary And Urgent Care Llc | 8921341082 | 2 |
Entity Name | American Family Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
Entity Name | Comprehensive Primary & Urgent Care Of Alabama, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750997706 PECOS PAC ID: 1254741515 Enrollment ID: O20201028001145 |
Mailing Address | Practice Location Address |
---|---|
Mrs Audra Elizabeth Moore, CRNP 1956 Northside Dr Nw, Atlanta, GA 30318-2631 Ph: (256) 777-0000 | Mrs Audra Elizabeth Moore, CRNP 6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093-5536 Ph: (678) 205-1959 |
Natacha Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jimmy Carter Blvd Ste 205, Norcross, GA 30093 Phone: 770-676-5763 Fax: 770-676-5723 | |
Kaitlin Wilson, CNM, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5195 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 470-514-5818 | |
Bijalben Patel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1235 Indian Trail Rd, Norcross, GA 30093 Phone: 770-931-1333 Fax: 770-931-3111 | |
Lawrence Little Iii, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6010 Singleton Rd Ste 209, Norcross, GA 30093 Phone: 770-248-0200 | |
Tong Wang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 W Peachtree St, Norcross, GA 30071 Phone: 770-246-6100 | |
Lorraine Elizabeth Mcdowell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5949 Buford Hwy, Norcross, GA 30071 Phone: 678-280-6630 Fax: 678-280-6635 | |
Rebecca Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093 Phone: 470-275-4911 |