Mrs Carolyn Meredith Moore, NP-C in Cumming, GA

Mrs Carolyn Meredith Moore, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Cardiovascular Institute, Llc, Northside Cardiovascular Professional Services, Llc and her current practice location is 1400 Northside Forsyth Dr Ste 170, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 292-4806.

Mrs Carolyn Meredith Moore is licensed to practice in Georgia (license number RN170740) 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 1114161791.

Contact Information

	Mrs Carolyn Meredith Moore, NP-C
	1400 Northside Forsyth Dr Ste 170, Cumming, GA 30041-7668
	(770) 292-4806
	(770) 292-4808

Map and Direction

Provider's Profile

Full Name	Mrs Carolyn Meredith Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	1400 Northside Forsyth Dr Ste 170, Cumming, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Carolyn Meredith Moore graduated from nursing school in 2008

NPI Data:

NPI Number: 1114161791
Provider Enumeration Date: 04/27/2009
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2163615485
Enrollment ID: I20101019001375

Medical Identifiers

Medical identifiers for Mrs Carolyn Meredith Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114161791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN170740 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital
Northside Hospital Forsyth	Cumming, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Cardiovascular Institute, Llc	2668708850	72
Northside Cardiovascular Professional Services, Llc	9739189838	84

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. Mrs Carolyn Meredith Moore allows following entities to bill medicare on her behalf.

Entity Name	Northside Cardiovascular Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518979921 PECOS PAC ID: 9739189838 Enrollment ID: O20070112000232

Entity Name	Northside Cardiovascular Institute, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962060368 PECOS PAC ID: 2668708850 Enrollment ID: O20190725001893

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. Mrs Carolyn Meredith 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 Address	Practice Location Address
Mrs Carolyn Meredith Moore, NP-C 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 292-4806	Mrs Carolyn Meredith Moore, NP-C 1400 Northside Forsyth Dr Ste 170, Cumming, GA 30041-7668 Ph: (770) 292-4806

Reviews and Comments

Nurse Practitioner Nurses in Cumming, GA

Megan Irene Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041 Phone: 770-844-0877 Fax: 770-844-0891
Mrs. Zahra Alavi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 980 Sanders Rd Ste 100, Cumming, GA 30041 Phone: 770-886-1074 Fax: 770-205-4717
Julia Caroline Branch, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041 Phone: 770-889-9737
Krupa Patel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 708-871-6687
Ms. Karen Joan Melde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Peachtree Pkwy Ste 4260, Cumming, GA 30041 Phone: 678-990-2501 Fax: 678-990-2505
Casey Rhea Freeberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5510 Weddington Dr, Cumming, GA 30040 Phone: 770-856-2187
Mollie Renee Brusca, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Bethelview Rd, Cumming, GA 30040 Phone: 678-389-6509

Mrs Carolyn Meredith Moore, NP-C - Medicare Nurse Practitioner in Cumming, GA