JORGE LUIS MORENO M.D. NPI 1518914597

NPI Information

  • NPI: 1518914597
  • Provider Name: JORGE LUIS MORENO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 11D0928567
  • Address: 375 MCDONOUGH RD
    JACKSON, GA
    ZIP 30233
  • Phone: (770) 775-4622

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NPI Details

Jorge Luis Moreno, M.D. is a family medicine in Jackson, GA with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jorge Luis Moreno, M.D. NPI is 1518914597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

375 MCDONOUGH RD
JACKSON, GA
ZIP 30233-509
Phone: (770) 775-4622
Fax: (770) 775-4132

The NPI 1518914597 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 CLIA number assigned to this NPI record is 11D0928567 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/1/2014.

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
1207Q00000XFamily Medicine046792GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108BBTSVMEDICARE ID-TYPE UNSPECIFIED
200885024AMEDICAIDGEORGIA
3046792OTHERGEORGIAMEDICAL LICENSE
4G98624MEDICARE UPIN
508BBTSVMEDICARE PIN
6GRP4245MEDICARE PIN

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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