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BRYAN RUSSELL MOORE PAA
NPI 1356388433
Physician Assistant in Marietta, GA

Active since May 31, 2006
92.93/100
CMS Quality Rating
2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274(470) 644-1119 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bryan Russell Moore Paa NPPES

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

BRYAN RUSSELL MOORE PAA (NPI 1356388433) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (003912) and active in the NPI registry since May 2006. He is affiliated with Wellstar Kennestone Regional Medical Center, maintains a secondary practice location in Rome, and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1356388433
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN RUSSELL MOORECredential: PAA
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (470) 644-1274 · Fax (470) 644-1119
Phone(470) 644-1274
Fax(470) 644-1119
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1356388433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 003912
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2540 WINDY HILL RD SE, Marietta, GA 30067
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Secondary Practice Location 1

Location 1501 Redmond Rd NW, Anesthesiology DepartmentRome, GA 30165-1415 · Phone (706) 291-0291

Other Identifiers 3

Medicaid100002267CGA
OtherP00221726GA · Railroad Medicare
Medicaid100002267BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Bryan Russell Moore Paa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880634898
PECOS Enrollment IDI20050510000267

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for x-ray on artery of brain, heart, or chest 01926
Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

NAZIM ALI SYED MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 732-4022
SHARI STOKES M.D.
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
DR. NILAY NIRDOSH MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1000
MARIO TORRES-NIEVES
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
SHAWN MICHAEL KADE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
ROBERT J DELPOZO M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
DR. KRISTY HENDRICKS JACKSON M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
IFFAT BHUIYAN MD
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570

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 Bryan Moore's NPI number?

The NPI number for Bryan Moore is 1356388433. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Bryan Moore located?

Bryan Moore practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (470) 644-1274.

What is Bryan Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryan Moore enrolled in Medicare?

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

What insurance does Bryan Moore accept?

Health plans from Alliant Health Plans, Inc. list Bryan Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bryan Moore affiliated with any hospitals?

According to CMS data, Bryan Moore is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Bryan Moore was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.