DR. AUBREY LEE MOORE III PH.D.
NPI 1093708737
Psychologist in Augusta, GA

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
3643 WALTON WAY EXT, AUGUSTA, GA 30909(706) 729-9595(706) 729-0332 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Aubrey Lee Moore Iii Ph.d. NPPES

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

DR. AUBREY LEE MOORE III PH.D. (NPI 1093708737) is an individual psychologist in Augusta, Georgia, licensed in Georgia (PSY002012) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093708737
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. AUBREY LEE MOORE IIICredential: PH.D.
Location Address3643 WALTON WAY EXTAugusta, GA 30909-4507
Mailing Address320 Gardenia DrEvans, GA 30809-8239 · (706) 284-1054 · Fax (706) 729-0332
Fax(706) 729-0332
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 29, 2005
Last NPPES UpdateAugust 25, 2016
NPI 1093708737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY002012
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3643 WALTON WAY EXT, Augusta, GA 30909

Other Identifiers 1

Medicare UPINS23446GA

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

Dr. Aubrey Lee Moore Iii Ph.d. 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.

PECOS PAC ID1052509973
PECOS Enrollment IDI20101220000584
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.

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.

Dentist (General Practice)
3643 WALTON WAY EXT, BLDG. 1
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Registered Nurse
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Counselor (Mental Health)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Dentist (General Practice)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Social Worker (Clinical)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909

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 Aubrey Moore's NPI number?

The NPI number for Aubrey Moore is 1093708737. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Aubrey Moore located?

Aubrey Moore practices at 3643 Walton Way Ext, Augusta, GA 30909. The listed phone number is (706) 729-9595.

What is Aubrey Moore's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Aubrey Moore enrolled in Medicare?

Yes. Aubrey 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.

When was this NPI record last updated?

The NPPES record for Aubrey Moore was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.