MATTHEW DOUGLAS MOORE BSN, RN
NPI 1043045537
Registered Nurse - Administrator in Dallas, GA

Q: What is Matthew Moore's NPI number?

The NPI number for Matthew Moore is 1043045537. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Q: What is Matthew Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Moore was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 04, 2024

88 SPARKLEBERRY LN E, DALLAS, GA 30132(770) 605-7982 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Douglas Moore Bsn, Rn NPPES

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

MATTHEW DOUGLAS MOORE BSN, RN (NPI 1043045537) is an individual administrator provider in Dallas, Georgia, licensed in Georgia (RN266385) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1043045537

Entity TypeIndividualMale

Primary Taxonomy163WA2000X

Provider Legal NameMATTHEW DOUGLAS MOORECredential: BSN, RN

Location Address88 SPARKLEBERRY LN EDallas, GA 30132-7578

Mailing Address88 Sparkleberry Ln EDallas, GA 30132-7578

Phone(770) 605-7982

Sole ProprietorYes

Enumeration DateSeptember 4, 2024

NPPES CertifiedSeptember 4, 2024

✔ NPI 1043045537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers

Taxonomy Code163WA2000X

License✔ Licensed in GA · RN266385

88 SPARKLEBERRY LN E, Dallas, GA 30132

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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 Matthew Moore's NPI number?

The NPI number for Matthew Moore is 1043045537. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Matthew Moore located?

Matthew Moore practices at 88 Sparkleberry Ln E, Dallas, GA 30132. The listed phone number is (770) 605-7982.

What is Matthew Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Matthew Moore was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.