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AUSTIN MOORE ATC
NPI 1073077756
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since January 26, 2019
805 NICHOLS RD, SUWANEE, GA 30024(505) 486-1913 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 23, 2021, Jan 26, 2019 (2 updates tracked since 2019).

About Austin Moore Atc NPPES

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

AUSTIN MOORE ATC (NPI 1073077756) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1073077756
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN MOORECredential: ATC
Location Address805 NICHOLS RDSuwanee, GA 30024-1603
Mailing Address5010 W Broad StSugar Hill, GA 30518-5200 · (505) 486-1913
Phone(505) 486-1913
Sole ProprietorNo
Enumeration DateJanuary 26, 2019
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1073077756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
805 NICHOLS RD, Suwanee, GA 30024
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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 Austin Moore's NPI number?

The NPI number for Austin Moore is 1073077756. It was assigned to this individual provider in the NPPES registry on January 26, 2019.

Where is Austin Moore located?

Austin Moore practices at 805 Nichols Rd, Suwanee, GA 30024. The listed phone number is (505) 486-1913.

What is Austin Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Austin Moore was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.