MS. DONNA A MOORE APRN-C, PMHNP-BC, MS
NPI 1003090150
Nurse Practitioner - Psychiatric/Mental Health in Gainesville, GA

Active since December 26, 2007PECOS Enrolled
915 INTERSTATE RIDGE DR, GAINESVILLE, GA 30501(516) 493-2203 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Aug 5, 2024, Apr 23, 2019 (3 updates tracked since 2019).

About Ms. Donna A Moore Aprn-c, Pmhnp-bc, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DONNA A MOORE APRN-C, PMHNP-BC, MS (NPI 1003090150) is an individual psychiatric/mental health provider in Gainesville, Georgia, licensed in Georgia (RN241756) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003090150
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. DONNA A MOORECredential: APRN-C, PMHNP-BC, MS
Location Address915 INTERSTATE RIDGE DRGainesville, GA 30501-7076
Mailing Address599 Madison Park DrGrayson, GA 30017-7940 · (516) 493-2203
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 26, 2007
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1003090150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN241756
Also ListedRegistered NurseTaxonomy 163W00000X · License 5796691 (NY)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN241756 (GA), 95029693 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 11034073 (FL)
915 INTERSTATE RIDGE DR, Gainesville, GA 30501

Secondary Practice Locations 3

Location 1900 Franklin AveValley Stream, NY 11580-2145 · Phone (516) 493-2203
Location 2599 Madison Park DrGrayson, GA 30017-7940 · Phone (516) 493-2203
Location 3801 W Bay Dr Ste 424Largo, FL 33770-3234 · Phone (516) 493-2203 · Fax (516) 493-2203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna A Moore Aprn-c, Pmhnp-bc, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759804438
PECOS Enrollment IDI20250403000446
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Donna Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
915 INTERSTATE RIDGE DR, SUITE A
GAINESVILLE, GA 30501
Nurse Practitioner (Psychiatric/Mental Health)
915 INTERSTATE RIDGE DR
GAINESVILLE, GA 30501
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
915 INTERSTATE RIDGE DR, SUITE C
GAINESVILLE, GA 30501
Community/Behavioral Health
915 INTERSTATE RIDGE DR, SUITE G
GAINESVILLE, GA 30501
Counselor (Mental Health)
915 INTERSTATE RIDGE DR, SUITE G
GAINESVILLE, GA 30501
Counselor (Mental Health)
915 INTERSTATE RIDGE DR, SUITE G
GAINESVILLE, GA 30501
Home Health
915 INTERSTATE RIDGE DR, SUITE A
GAINESVILLE, GA 30501
Counselor (Mental Health)
915 INTERSTATE RIDGE DR, SUITE G
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Moore's NPI number?

The NPI number for Donna Moore is 1003090150. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Donna Moore located?

Donna Moore practices at 915 Interstate Ridge Dr, Gainesville, GA 30501. The listed phone number is (516) 493-2203.

What is Donna Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Donna Moore enrolled in Medicare?

Yes. Donna Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donna Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Moore reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Moore accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Donna Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Moore was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.