DR. DEBRA L. MOORE PH.D.
NPI 1235148602
Psychologist - Clinical in Decatur, GA

Q: What is Debra Moore's NPI number?

The NPI number for Debra Moore is 1235148602. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Debra Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Debra Moore enrolled in Medicare?

No. Debra Moore has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Debra Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 05, 2006Opted out of Medicare · through Oct 15, 2027

805 CHURCH ST, DECATUR, GA 30030(404) 321-7073(404) 377-6798 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Debra L. Moore Ph.d. NPPES

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

DR. DEBRA L. MOORE PH.D. (NPI 1235148602) is an individual clinical provider in Decatur, Georgia, licensed in Georgia (PSY002527) and active in the NPI registry since August 2006. She has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235148602

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DEBRA L. MOORECredential: PH.D.

Location Address805 CHURCH STDecatur, GA 30030-1870

Mailing Address805 Church StDecatur, GA 30030-1870 · (404) 321-7073 · Fax (404) 377-6798

Phone(404) 321-7073

Fax(404) 377-6798

Sole ProprietorYes

Enumeration DateAugust 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235148602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY002527

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

805 CHURCH ST, Decatur, GA 30030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Debra L. Moore Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2015 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2015

Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 7

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

ANDREA E. MILLER-BRUCE PSY.D.

Psychologist