MARTHA MICHELLE MOORE NPI 1144739533

NPI Information

  • NPI: 1144739533
  • Provider Name: MARTHA MICHELLE MOORE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2799 LAWRENCEVILLE HWY STE 107
    DECATUR, GA
    ZIP 30033
  • Phone: (678) 739-1879

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NPI Details

Martha Michelle Moore is a family nurse practitioner in Decatur, GA with 9 years of experience. Martha Michelle Moore NPI is 1144739533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2799 LAWRENCEVILLE HWY STE 107
DECATUR, GA
ZIP 30033-517
Phone: (678) 739-1879

The NPI 1144739533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN1035743DISTRICT OF COLUMBIANo
2163W00000XRegistered NurseRN222920GEORGIANo
3163W00000XRegistered Nurse95041728CALIFORNIANo
4163WP0808XRegistered NursePsychiatric/Mental Health222920GEORGIANo
5363LF0000XNurse PractitionerFamily222920GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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