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KEVIN EMMANUAL MOORE D.P.M.
NPI 1104111590
Podiatrist - Foot & Ankle Surgery in Warner Robins, GA

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
109 OSIGIAN BLVD STE 300, WARNER ROBINS, GA 31088(478) 333-2430(478) 333-2173 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Emmanual Moore D.p.m. NPPES

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

KEVIN EMMANUAL MOORE D.P.M. (NPI 1104111590) is an individual foot & ankle surgery provider in Warner Robins, Georgia, licensed in Georgia (POD001181) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1104111590
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameKEVIN EMMANUAL MOORECredential: D.P.M.
Location Address109 OSIGIAN BLVD STE 300Warner Robins, GA 31088-8924
Mailing AddressPo Box 6619Macon, GA 31208-6619 · (478) 333-2430 · Fax (478) 333-2173
Phone(478) 333-2430
Fax(478) 333-2173
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2008
Enumeration DateJune 14, 2011
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1104111590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in GA · POD001181✔ Licensed in OK · 288
109 OSIGIAN BLVD STE 300, Warner Robins, GA 31088
Open in Google Maps ↗

Secondary Practice Location 1

Location 14116 Arkwright Rd Ste 1Macon, GA 31210-1707 · Phone (478) 333-2430 · Fax (478) 333-2173

Other Identifiers 1

Medicaid003116370BGA

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

Kevin Emmanual Moore D.p.m. 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 ID9931370608
PECOS Enrollment IDI20120118000309
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,275 services411 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,066 services366 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
158 services158 patients
Biopsy of fingernail or toenail 11755
A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.
127 services126 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
74 services30 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

MOORE RESOLUTIONS GROUP, LLC
Social Worker (Clinical)
109 OSIGIAN BLVD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 333-2411
MRS. DENISE JANELLE BANKSTON MSW
Social Worker
109 OSIGIAN BLVD STE 300
WARNER ROBINS, GA 31088
Houston County (478) 333-2411

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1104111590. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Kevin Moore located?

Kevin Moore practices at 109 Osigian Blvd Ste 300, Warner Robins, GA 31088. The listed phone number is (478) 333-2430.

What is Kevin Moore's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin Moore enrolled in Medicare?

Yes. Kevin 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 Kevin Moore affiliated with any hospitals?

According to CMS data, Kevin Moore is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Northside Hospital and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Moore was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.