MRS. CAROLYN MEREDITH MOORE NP-C
NPI 1114161791
Nurse Practitioner - Family in Cumming, GA

Q: What is Carolyn Moore's NPI number?

The NPI number for Carolyn Moore is 1114161791. It was assigned to this individual provider in the NPPES registry on April 27, 2009. The provider is also known as Carolyn Meredith Campbell.

Q: What is Carolyn Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Moore was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment

68.55/100

CMS Quality Rating

1400 NORTHSIDE FORSYTH DR STE 170, CUMMING, GA 30041(770) 292-4806(770) 292-4808 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Mar 8, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Carolyn Meredith Moore Np-c NPPES

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

MRS. CAROLYN MEREDITH MOORE NP-C (NPI 1114161791) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN170740) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114161791

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CAROLYN MEREDITH MOORECredential: NP-C

Location Address1400 NORTHSIDE FORSYTH DR STE 170Cumming, GA 30041-7668

Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (770) 292-4806

Phone(770) 292-4806

Fax(770) 292-4808

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 27, 2009

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1114161791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN170740

1400 NORTHSIDE FORSYTH DR STE 170, Cumming, GA 30041

Open in Google Maps ↗

Other Names 1

Former Name (1)Carolyn Meredith Campbell

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carolyn Meredith Moore Np-c 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 ID2163615485

PECOS Enrollment IDI20101019001375

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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Cardiovascular Professional Services, LLC

13 mi

Cardiovascular Disease

1285 UPPER HEMBREE RD
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
175 clinicians in this Medicare group

NPI 1518979921 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

161 services69 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services88 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

125 services70 patients

Injection, furosemide, up to 20 mg J1940

Furosemide is a medication given via injection, often to help your body eliminate excess fluid or salt. It's typically used to treat issues like heart failure or high blood pressure. The dose mentioned, up to 20 mg, will be adjusted based on your specific needs.

65 services11 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

59 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

51 services47 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

33 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services18 patients

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.

25 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services19 patients

Injection of drug or substance into vein 96374

This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.

23 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

16 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

68.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.15

Promoting Interoperability

Improvement Activities

Cost

52.03

Other Providers at the Same Location NPPES

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

KATHLEEN ANN HALVEY NP

Nurse Practitioner

1400 NORTHSIDE FORSYTH DR STE 170
CUMMING, GA 30041

Forsyth County (770) 292-4806

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 Carolyn Moore's NPI number?

The NPI number for Carolyn Moore is 1114161791. It was assigned to this individual provider in the NPPES registry on April 27, 2009. The provider is also known as Carolyn Meredith Campbell.

Where is Carolyn Moore located?

Carolyn Moore practices at 1400 Northside Forsyth Dr Ste 170, Cumming, GA 30041. The listed phone number is (770) 292-4806.

What is Carolyn Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolyn Moore enrolled in Medicare?

Yes. Carolyn 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.

Which organization bills Medicare for Carolyn Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Moore reassigns Medicare benefits to Northside Cardiovascular Professional Services, LLC (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carolyn Moore affiliated with any hospitals?

According to CMS data, Carolyn Moore is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Moore was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.