DR. FREDERICK MOORE DMD
NPI 1215157060
Dentist - General Practice in Palmetto, GA

Q: 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.

Q: What is Frederick Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: 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.

Active since April 26, 2007PECOS Enrolled

643 MAIN ST, PALMETTO, GA 30268(770) 463-4644 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1215157060

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. FREDERICK MOORECredential: DMD

Location Address643 MAIN STPalmetto, GA 30268-1138

Mailing Address294 Glenwood Ave SeAtlanta, GA 30312-3155 · (706) 231-6584

Phone(770) 463-4644

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateJanuary 4, 2012

✔ NPI 1215157060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN013353

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

643 MAIN ST, Palmetto, GA 30268

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frederick Moore Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 16

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

PALMETTO HEALTH COUNCIL INC

Clinic/Center (Federally Qualified Health Center (FQHC))