KAITLYNN MOORE NP
NPI 1386501575
Nurse Practitioner - Family in Thomasville, GA
About Kaitlynn Moore Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYNN MOORE NP (NPI 1386501575) is an individual family provider in Thomasville, Georgia, licensed in Georgia (GAA-NP004374) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlynn Moore Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlynn Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thomasville, GA 31792
- Reassigned Medicare billing, Georgia enrollment
- 25 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Archbold Memorial
Acute Care Hospitals · Thomasville, GAArchbold Grady
Acute Care Hospitals · Cairo, GAArchbold Brooks
Critical Access Hospitals · Quitman, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
THOMASVILLE, GA 31792
THOMASVILLE, GA 31792
THOMASVILLE, GA 31792
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 Kaitlynn Moore's NPI number?
The NPI number for Kaitlynn Moore is 1386501575. It was assigned to this individual provider in the NPPES registry on January 8, 2026.
Where is Kaitlynn Moore located?
Kaitlynn Moore practices at 116 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 551-0083.
What is Kaitlynn Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaitlynn Moore enrolled in Medicare?
Yes. Kaitlynn Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kaitlynn Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlynn Moore reassigns Medicare benefits to Ccsg, Inc. (Thomasville, GA). 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 Kaitlynn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlynn Moore accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kaitlynn 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 Kaitlynn Moore affiliated with any hospitals?
According to CMS data, Kaitlynn Moore is affiliated with Archbold Memorial, Archbold Grady and Archbold Brooks.
When was this NPI record last updated?
The NPPES record for Kaitlynn Moore was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Kaitlynn Moore, NP · NPI 1386501575
Family physician in Thomasville, Georgia. Individual provider, active in the CMS NPPES registry since January 8, 2026.
## Identity
- **NPI:** 1386501575 (Entity type: Individual)
- **Enumerated:** January 8, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** GAA-NP004374 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 116 MIMOSA DR, Thomasville, GA 31792-6605
- **Phone:** (229) 551-0083 · **Fax:** (229) 584-7174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ccsg, Inc. (NPI 1295120145, Thomasville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386501575) · Data from the CMS NPPES public registry.