MARY ELIZABETH MOORE CPNP-AC/PC
NPI 1184230864
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since September 18, 2020
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-5437 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2022, Sep 18, 2020 (2 updates tracked since 2020).

About Mary Elizabeth Moore Cpnp-ac/pc NPPES

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

MARY ELIZABETH MOORE CPNP-AC/PC (NPI 1184230864) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN250218) and active in the NPI registry since September 2020. She maintains a secondary practice location in Kennesaw.

NPPES Registry Identity

NPI1184230864
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ELIZABETH MOORECredential: CPNP-AC/PC
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address1880 Fairway Cir NeBrookhaven, GA 30319-3821 · (678) 234-2461
Sole ProprietorNo
Enumeration DateSeptember 18, 2020
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
NPI 1184230864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN250218
1001 JOHNSON FY RD NE, Atlanta, GA 30342

Secondary Practice Location 1

Location 13745 Cherokee St NWKennesaw, GA 30144-6733 · Phone (770) 429-1005

Accepted Insurance

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.

Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342

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 Mary Elizabeth Moore's NPI number?

The NPI number for Mary Elizabeth Moore is 1184230864. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Mary Elizabeth Moore located?

Mary Elizabeth Moore practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-5437.

What is Mary Elizabeth Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Mary Elizabeth Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Elizabeth Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Elizabeth Moore was last updated on March 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.