GEORGE RICHARD MOORE M.D.
NPI 1235153586
Specialist in Fayetteville, GA

Active since July 27, 2006
1265 HWY 54 W, FAYETTEVILLE, GA 30214(770) 997-5714(770) 997-2810 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George Richard Moore M.d. NPPES

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

GEORGE RICHARD MOORE M.D. (NPI 1235153586) is an individual specialist in Fayetteville, Georgia, licensed in Georgia (012525) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1235153586
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGEORGE RICHARD MOORECredential: M.D.
Location Address1265 HWY 54 WFayetteville, GA 30214
Mailing Address1265 Hwy 54 WFayetteville, GA 30214 · (770) 997-5714 · Fax (770) 997-2810
Fax(770) 997-2810
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 24, 2007
NPI 1235153586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 012525
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1265 HWY 54 W, Fayetteville, GA 30214

Other Identifiers 3

Medicare ID-Type Unspecified16BDBBCGA
Medicaid00393225AGA
Medicare UPIND46178GA

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
1265 HWY 54 W, SUITE 401
FAYETTEVILLE, GA 30214

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 George Moore's NPI number?

The NPI number for George Moore is 1235153586. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is George Moore located?

George Moore practices at 1265 Hwy 54 W, Fayetteville, GA 30214. The listed phone number is (770) 997-5714.

What is George Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for George Moore was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.