MR. GERRY DELAYNE MOORE SR.
NPI 1164773040
Driver in Baxley, GA

Active since October 02, 2012
85 RENDI LN, BAXLEY, GA 31513(912) 347-9043(912) 367-0986 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gerry Delayne Moore Sr. NPPES

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

MR. GERRY DELAYNE MOORE SR. (NPI 1164773040) is an individual driver provider in Baxley, Georgia and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1164773040
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMR. GERRY DELAYNE MOORE SR.
Location Address85 RENDI LNBaxley, GA 31513-6816
Mailing Address85 Rendi LnBaxley, GA 31513-6816 · (912) 347-9043 · Fax (912) 367-0986
Fax(912) 367-0986
Sole ProprietorYes
Enumeration DateOctober 2, 2012
NPI 1164773040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
85 RENDI LN, Baxley, GA 31513

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
85 RENDI LN
BAXLEY, GA 31513

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 Gerry Moore's NPI number?

The NPI number for Gerry Moore is 1164773040. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Gerry Moore located?

Gerry Moore practices at 85 Rendi Ln, Baxley, GA 31513. The listed phone number is (912) 347-9043.

What is Gerry Moore's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Gerry Moore was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.