KATLYN NICOLE MOORE
NPI 1083591176
Nurse Practitioner - Acute Care in Valdosta, GA
About Katlyn Nicole Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATLYN NICOLE MOORE (NPI 1083591176) is an individual acute care provider in Valdosta, Georgia, licensed in Georgia (APRN-NP281867) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and maintains a secondary practice location in Valdosta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katlyn Nicole Moore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sgmc Health
Acute Care Hospitals · Valdosta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALDOSTA, GA 31602
VALDOSTA, GA 31602
VALDOSTA, GA 31602
VALDOSTA, GA 31602
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 Katlyn Moore's NPI number?
The NPI number for Katlyn Moore is 1083591176. It was assigned to this individual provider in the NPPES registry on August 19, 2025.
Where is Katlyn Moore located?
Katlyn Moore practices at 2501 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 433-1000.
What is Katlyn Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Katlyn Moore enrolled in Medicare?
Yes. Katlyn Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Katlyn Moore affiliated with any hospitals?
According to CMS data, Katlyn Moore is affiliated with Sgmc Health.
When was this NPI record last updated?
The NPPES record for Katlyn Moore was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Katlyn Nicole Moore · NPI 1083591176
Acute Care physician in Valdosta, Georgia. Individual provider, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1083591176 (Entity type: Individual)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN-NP281867 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 N PATTERSON ST, Valdosta, GA 31602-1735
- **Phone:** (229) 433-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083591176) · Data from the CMS NPPES public registry.