BRANDIE MOORE
NPI 1114644622
Nurse Practitioner - Psychiatric/Mental Health in Smyrna, GA

Q: What is Brandie Moore's NPI number?

The NPI number for Brandie Moore is 1114644622. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Q: What is Brandie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brandie Moore was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment

1314 CONCORD RD SE, SMYRNA, GA 30080(770) 438-1799(770) 825-9046 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Oct 25, 2022 (2 updates tracked since 2022).

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About Brandie Moore NPPES

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

BRANDIE MOORE (NPI 1114644622) is an individual psychiatric/mental health provider in Smyrna, Georgia, licensed in Illinois (209.026179) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114644622

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBRANDIE MOORE

Location Address1314 CONCORD RD SESmyrna, GA 30080-4361

Mailing Address1314 Concord Rd SeSmyrna, GA 30080-4361 · (770) 438-1799 · Fax (770) 825-9046

Phone(770) 438-1799

Fax(770) 825-9046

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 25, 2022

Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1114644622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.026179

1314 CONCORD RD SE, Smyrna, GA 30080

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Secondary Practice Locations 6

Location 115 Medical Dr NE Ste 350Cartersville, GA 30121-8005 · Phone (470) 737-1606 · Fax (833) 973-4256

Location 21 Baltimore Pl NW Ste 200Atlanta, GA 30308-2114 · Phone (470) 737-1606 · Fax (833) 973-4256

Location 310475 Medlock Bridge Rd Ste 420Johns Creek, GA 30097-4439 · Phone (470) 737-1569 · Fax (833) 973-2670

Location 46025 Professional Pkwy Ste 301Douglasville, GA 30134-5610 · Phone (770) 438-1799 · Fax (770) 825-9046

Location 51012 Coggins Pl NEMarietta, GA 30060-2585 · Phone (770) 422-2009 · Fax (770) 428-0330

Location 611755 Pointe Pl Ste A1Roswell, GA 30076-4657 · Phone (770) 667-1264 · Fax (770) 667-2238

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

Brandie 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.

PECOS PAC ID9638529134

PECOS Enrollment IDI20251215003308

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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.

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.

MEDICAL CONSULTANTS GROUP

Family Medicine