1. Home
  2. Directory
  3. Georgia
  4. Tucker
  5. Nurse Practitioner
  6. NPI Profile

DR. KATHRYN MARIE MOORE RN, APRN-BC
NPI 1336389980
Nurse Practitioner - Critical Care Medicine in Tucker, GA

Active since February 23, 2009PECOS Enrolled
2349 CRESTCLIFF DR, TUCKER, GA 30084(404) 558-1129 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2018, Apr 19, 2017 (2 updates tracked since 2017).

About Dr. Kathryn Marie Moore Rn, Aprn-bc NPPES

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

DR. KATHRYN MARIE MOORE RN, APRN-BC (NPI 1336389980) is an individual critical care medicine provider in Tucker, Georgia, licensed in Georgia (RN171792) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336389980
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameDR. KATHRYN MARIE MOORECredential: RN, APRN-BC
Location Address2349 CRESTCLIFF DRTucker, GA 30084-4206
Mailing Address2349 Crestcliff DrTucker, GA 30084-4206 · (404) 558-1129
Phone(404) 558-1129
Sole ProprietorNo
Enumeration DateFebruary 23, 2009
Last NPPES UpdateNovember 19, 20182 updates tracked since enumeration
✔ NPI 1336389980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in GA · RN171792
2349 CRESTCLIFF DR, Tucker, GA 30084
Open in Google Maps ↗

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. Kathryn Marie Moore Rn, Aprn-bc 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 30084 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
$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.

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 Kathryn Moore's NPI number?

The NPI number for Kathryn Moore is 1336389980. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Kathryn Moore located?

Kathryn Moore practices at 2349 Crestcliff Dr, Tucker, GA 30084. The listed phone number is (404) 558-1129.

What is Kathryn Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Kathryn Moore enrolled in Medicare?

Yes. Kathryn Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Moore was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.