BRYAN RUSSELL MOORE PAA
NPI 1356388433
Physician Assistant in Marietta, GA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bryan Russell Moore Paa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Bryan Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Cedartown, GA 30125
- Reassigned Medicare billing, Georgia enrollment
- 164 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 113 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.
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.
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, GAMedicare 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.
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.
MARIETTA, GA 30067
MARIETTA, GA 30067
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.
Which organizations bill Medicare for Bryan Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Moore reassigns Medicare benefits to 4 organizations: Wellstar Medical Group, LLC (Marietta, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), Georgia Group Services, LLC (Cedartown, GA) and Redmond Anesthesia And Pain Treatment, PC (Rome, GA). Each 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 Bryan Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bryan Moore accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health 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 3 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.
# Bryan Russell Moore, PAA · NPI 1356388433
Physician Assistant physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1356388433 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 003912 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2540 WINDY HILL RD SE, Marietta, GA 30067-8605
- **Phone:** (470) 644-1274 · **Fax:** (470) 644-1119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1629361605, Marietta, GA); Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); Georgia Group Services, LLC (NPI 1952704942, Cedartown, GA); Redmond Anesthesia And Pain Treatment, PC (NPI 1821350984, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 10, 2023
- **Other identifiers:** Medicaid 100002267C (GA); Other P00221726 (GA); Medicaid 100002267B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1356388433) · Data from the CMS NPPES public registry.