Martha Michelle Moore, - Medicare Nurse Practitioner in Stockbridge, GA

Martha Michelle Moore, is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. Her current practice location is Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 575-7992.

Martha Michelle Moore is licensed to practice in Georgia (license number 222920) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144739533.

Contact Information

Martha Michelle Moore,
Piedmont Henry Hospital, 1133 Eagles Landing Pkwy,
Stockbridge, GA 30281
(678) 575-7992
Not Available

Map and Direction




Provider's Profile

Full NameMartha Michelle Moore
GenderFemale
SpecialityNurse Practitioner - Family
LocationPiedmont Henry Hospital, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144739533
  • Provider Enumeration Date: 09/28/2017
  • Last Update Date: 06/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7113272410
  • Enrollment ID: I20180608001135

Medical Identifiers

Medical identifiers for Martha Michelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144739533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN1035743 (District Of Columbia)Secondary
363LF0000XNurse Practitioner - Family 222920 (Georgia)Primary
163W00000XRegistered Nurse RN222920 (Georgia)Secondary
163W00000XRegistered Nurse 95041728 (California)Secondary

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. Martha Michelle Moore allows following entities to bill medicare on her behalf.
Entity NameInphynet Primary Care Physicians Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186
Entity NameThe Iv Spot, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619575834
PECOS PAC ID: 5395134712
Enrollment ID: O20220114001555

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. Martha Michelle 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
Martha Michelle Moore,
1890 Paxton Dr Sw,
Lilburn, GA 30047-3384

Ph: (773) 292-4800
Martha Michelle Moore,
Piedmont Henry Hospital, 1133 Eagles Landing Pkwy,
Stockbridge, GA 30281

Ph: (678) 575-7992

Reviews and Comments


Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP
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Phone: 770-213-3366    Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP
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Medicare: Medicare Enrolled
Practice Location: 165 North Park Trail, Stockbridge, GA 30281
Phone: 770-506-1800    Fax: 770-389-5947
Jeanine Clark, FNP
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Phone: 239-443-8018    
Shanae Mapp, NP-C
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Practice Location: 831 Fairways Ct, Stockbridge, GA 30281
Phone: 770-389-1925    
Janise Roebuck, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281
Phone: 770-389-3855    
Sandra Thomas,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281
Phone: 770-668-3363    
Mrs. Amanda J Raynor, CPNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281
Phone: 770-507-2212    Fax: 770-507-2213

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.