Hannah Moore, PMHNP-BC - Medicare Nurse Practitioner in Valdosta, GA

Hannah Moore, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Valdosta, Georgia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sgmp Southland, Llc and her current practice location is 4649 Robinson Rd, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 425-9263.

Hannah Moore is licensed to practice in Georgia (license number RN222613) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194252650.

Contact Information

Hannah Moore, PMHNP-BC
4649 Robinson Rd,
Valdosta, GA 31605-5486
(229) 425-9263
(229) 425-9263

Map and Direction




Provider's Profile

Full NameHannah Moore
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4649 Robinson Rd, Valdosta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hannah Moore graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1194252650
  • Provider Enumeration Date: 05/16/2017
  • Last Update Date: 04/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618360314
  • Enrollment ID: I20220201001732

Medical Identifiers

Medical identifiers for Hannah Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194252650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN222613 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN222613 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sgmp Southland, Llc115356377027

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hannah Moore allows following entities to bill medicare on her behalf.
Entity NameSgmp Southland, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447695085
PECOS PAC ID: 1153563770
Enrollment ID: O20130812000452

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hannah Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hannah Moore, PMHNP-BC
4649 Robinson Rd,
Valdosta, GA 31605-5486

Ph: (229) 425-9263
Hannah Moore, PMHNP-BC
4649 Robinson Rd,
Valdosta, GA 31605-5486

Ph: (229) 425-9263

Reviews and Comments


Nurse Practitioner Nurses in Valdosta, GA

John Stephen Dodd, NP
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Phone: 229-259-4340    Fax: 259-259-4341
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Lindsey C Mcclain, NP
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Phone: 229-242-6061    Fax: 229-242-6151
Ms. Barbara Ann Pearce, ANP-C
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Mr. Nathan Kelly Roberson, NP-C
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Mr. Robert Donald Keen, NP-C
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William Thomas Mulligan Jr., FNP-BC
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Phone: 229-433-8160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.