DR. FREDERICK MOORE DMD
NPI 1215157060
Dentist - General Practice in Palmetto, GA
About Dr. Frederick Moore Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FREDERICK MOORE DMD (NPI 1215157060) is an individual general practice provider in Palmetto, Georgia, licensed in Georgia (DN013353) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Frederick Moore Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Frederick Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30314
- Reassigned Medicare billing, Georgia enrollment
- 64 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30268 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALMETTO, GA 30268
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 Frederick Moore's NPI number?
The NPI number for Frederick Moore is 1215157060. It was assigned to this individual provider in the NPPES registry on April 26, 2007.
Where is Frederick Moore located?
Frederick Moore practices at 643 Main St, Palmetto, GA 30268. The listed phone number is (770) 463-4644.
What is Frederick Moore's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Frederick Moore enrolled in Medicare?
Yes. Frederick Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Frederick Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Moore reassigns Medicare benefits to Saint Joseph's Mercy Care Services, Inc. (Atlanta, 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 Frederick Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Frederick Moore accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 19 other insurers list Frederick 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 Frederick Moore was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Frederick Moore, DMD · NPI 1215157060
General Practice provider in Palmetto, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1215157060 (Entity type: Individual)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN013353 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 643 MAIN ST, Palmetto, GA 30268-1138
- **Phone:** (770) 463-4644
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Saint Joseph's Mercy Care Services, Inc. (NPI 1689921306, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1215157060) · Data from the CMS NPPES public registry.