MARTHA MICHELLE MOORE
NPI 1144739533
Nurse Practitioner - Family in Decatur, GA
About Martha Michelle Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA MICHELLE MOORE (NPI 1144739533) is an individual family provider in Decatur, Georgia, licensed in Georgia (222920) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Martha Michelle Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Martha Moore reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 11 clinicians in this Medicare group
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
- 85 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 200 clinicians in this Medicare group
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 236 clinicians in this Medicare group
Augusta, GA 30901
- Reassigned Medicare billing, Georgia enrollment
- 159 clinicians in this Medicare group
Merced, CA 95340
- Reassigned Medicare billing, California enrollment
- 141 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 168 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
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 Martha Moore's NPI number?
The NPI number for Martha Moore is 1144739533. It was assigned to this individual provider in the NPPES registry on September 28, 2017.
Where is Martha Moore located?
Martha Moore practices at 2799 Lawrenceville Hwy Ste 107, Decatur, GA 30033. The listed phone number is (678) 739-1879.
What is Martha Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Martha Moore enrolled in Medicare?
Yes. Martha Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Martha Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martha Moore reassigns Medicare benefits to 7 organizations: Great Health Medical Ga PC (Roswell, GA), Walker Lake Emergency Group, PC (Conyers, GA), Inphynet Primary Care Physicians Southeast PC (Columbus, GA), Emergency Group Of Columbus, LLC (Columbus, GA), Peach State Emergency Physicians LLC (Augusta, GA) and 2 more organizations, listed in the Medicare section above. Each 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 Martha Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Martha Moore was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Martha Michelle Moore · NPI 1144739533
Family physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since September 28, 2017.
## Identity
- **NPI:** 1144739533 (Entity type: Individual)
- **Enumerated:** September 28, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 222920 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 LAWRENCEVILLE HWY STE 107, Decatur, GA 30033-2517
- **Phone:** (678) 739-1879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Great Health Medical Ga PC (NPI 1881302305, Roswell, GA); Walker Lake Emergency Group, PC (NPI 1437629342, Conyers, GA); Inphynet Primary Care Physicians Southeast PC (NPI 1770521460, Columbus, GA); Emergency Group Of Columbus, LLC (NPI 1316458227, Columbus, GA); Peach State Emergency Physicians LLC (NPI 1053170605, Augusta, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144739533) · Data from the CMS NPPES public registry.