Cecilia Pickett Moore, CPNP | |
274 Big A Rd, Toccoa, GA 30577-6002 | |
(706) 886-8414 | |
(706) 827-5083 |
Full Name | Cecilia Pickett Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 274 Big A Rd, Toccoa, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144240227 | NPI | - | NPPES |
000891767M | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN134600 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN134600 (Georgia) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
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Cecilia Pickett Moore, CPNP Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Cecilia Pickett Moore, CPNP 274 Big A Rd, Toccoa, GA 30577-6002 Ph: (706) 886-8414 |
Misty Holloway Bryant, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-827-2607 | |
Charlotte Ann Griffith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Road, Toccoa, GA 30577 Phone: 706-886-6819 Fax: 703-282-5368 | |
Traci Coyne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-3169 | |
Lindsay Marie Mcdonald, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Falls Rd, Toccoa, GA 30577 Phone: 706-886-8476 | |
Travis Weldon Dobbs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-6819 Fax: 706-282-5373 | |
Lachanda Felice Brown, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 374 Coats Drive, Toccoa, GA 30577 Phone: 706-886-7562 |