Shawn William Moore, FNP-C in Gainesville, GA

Shawn William Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gainesville, Georgia. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Longstreet Clinic, Pc and his current practice location is 655 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 533-7288.

Shawn William Moore is licensed to practice in Georgia (license number RN191172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619222528.

Contact Information

	Shawn William Moore, FNP-C
	655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3854
	(770) 533-7288
	(770) 534-9800

Map and Direction

Provider's Profile

Full Name	Shawn William Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	655 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shawn William Moore graduated from nursing school in 2012

NPI Data:

NPI Number: 1619222528
Provider Enumeration Date: 07/17/2012
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5698921443
Enrollment ID: I20120809000483

Medical Identifiers

Medical identifiers for Shawn William Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619222528	NPI	-	NPPES
003125809F	Medicaid	GA
003125809K	Medicaid	GA
003125809B	Medicaid	GA
003125809J	Medicaid	GA
003125809A	Medicaid	GA
01667286	Other	GA	AMERIGROUP
003125809G	Medicaid	GA
003125809I	Medicaid	GA
003125809L	Medicaid	GA
003125809Q	Medicaid	GA
003125809	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN191172 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	145

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. Shawn William Moore allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Shawn William 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
Shawn William Moore, FNP-C Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Shawn William Moore, FNP-C 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3854 Ph: (770) 533-7288

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, GA

Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277

Shawn William Moore, FNP-C - Medicare Nurse Practitioner in Gainesville, GA