MR. JOHN MICHAEL MOORE LAPC
NPI 1336413731
Counselor - Professional in Augusta, GA

Active since March 02, 2012PECOS Enrolled
3643 WALTON WAY EXT, BLDG, AUGUSTA, GA 30909(706) 421-6039 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. John Michael Moore Lapc NPPES

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

MR. JOHN MICHAEL MOORE LAPC (NPI 1336413731) is an individual professional provider in Augusta, Georgia, licensed in Georgia (APC002693) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336413731
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHN MICHAEL MOORECredential: LAPC
Location Address3643 WALTON WAY EXT, BLDGAugusta, GA 30909-4507
Mailing Address3643 Walton Way Ext, BldgAugusta, GA 30909-4507 · (706) 421-6039
Sole ProprietorNo
Enumeration DateMarch 2, 2012
✔ NPI 1336413731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · APC002693
3643 WALTON WAY EXT, Augusta, GA 30909

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Michael Moore Lapc 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.

Medicare Billing Reassignment

Medicare enrollment records show John Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 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.

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
3643 WALTON WAY EXT, BLDG. 1
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Registered Nurse
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Counselor (Mental Health)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Dentist (General Practice)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Psychologist
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Social Worker (Clinical)
3643 WALTON WAY EXT
AUGUSTA, GA 30909

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 John Moore's NPI number?

The NPI number for John Moore is 1336413731. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is John Moore located?

John Moore practices at 3643 Walton Way Ext Bldg, Augusta, GA 30909. The listed phone number is (706) 421-6039.

What is John Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Moore enrolled in Medicare?

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

Which organization bills Medicare for John Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Moore reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 John Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Moore was last updated on March 2, 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.