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ROSLYN MOORE
NPI 1437875879
Nurse Practitioner in Suwanee, GA

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
185 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 937-0300(781) 464-2599 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2025, Oct 18, 2022 (2 updates tracked since 2022).

About Roslyn Moore NPPES

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

ROSLYN MOORE (NPI 1437875879) is an individual nurse practitioner in Suwanee, Georgia, licensed in Georgia (APRN-NP105131) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stone Mountain, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437875879
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROSLYN MOORE
Location Address185 OLD PEACHTREE RD NWSuwanee, GA 30024-2511
Mailing Address185 Old Peachtree Rd NwSuwanee, GA 30024-2511 · (678) 937-0300 · Fax (781) 464-2599
Phone(678) 937-0300
Fax(781) 464-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2022
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1437875879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP105131
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN105131 (GA)
185 OLD PEACHTREE RD NW, Suwanee, GA 30024
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Secondary Practice Location 1

Location 15723 Memorial DrStone Mountain, GA 30083-3425 · Phone (678) 937-0300 · Fax (781) 464-2599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Roslyn Moore 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.

PECOS PAC ID4789051343
PECOS Enrollment IDI20221110002380
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 Reassignments

3

Medicare enrollment records show Roslyn Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hypertension & Kidney Consultants Of Georgia PC
Same address
Nephrology
185 OLD PEACHTREE RD NW
Suwanee, GA 30024
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1659416550 (678) 937-0300
Archbold Medical Group
218 mi
Internal Medicine
1090 5TH ST SE
Cairo, GA 39828
  • Reassigned Medicare billing, Georgia enrollment
  • 96 clinicians in this Medicare group
NPI 1265798185 (229) 377-1100
Nephrology Medical Associates Of Georgia LLC
220 mi
Nephrology
334 SMITH AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1740706951 (229) 227-1595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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.

Other Providers at the Same Location NPPES 5

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

MS. KIMBERLY ERIKA DOWE NP-C
Nurse Practitioner (Gerontology)
185 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 937-0300
BORGIA DIEUDONNE NP
Nurse Practitioner
185 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 937-0300
NORTH GWINNETT DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
185 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 714-4941
DR. CLARA W TRUESDELL MD
Internal Medicine (Nephrology)
185 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 937-0300
HYPERTENSION & KIDNEY CONSULTANTS OF GEORGIA PC
Internal Medicine (Nephrology)
185 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 937-0300

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 Roslyn Moore's NPI number?

The NPI number for Roslyn Moore is 1437875879. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Roslyn Moore located?

Roslyn Moore practices at 185 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 937-0300.

What is Roslyn Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roslyn Moore enrolled in Medicare?

Yes. Roslyn 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 organizations bill Medicare for Roslyn Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roslyn Moore reassigns Medicare benefits to 3 organizations: Hypertension & Kidney Consultants Of Georgia PC (Suwanee, GA), Archbold Medical Group (Cairo, GA) and Nephrology Medical Associates Of Georgia LLC (Thomasville, 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 Roslyn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roslyn Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Roslyn 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.

When was this NPI record last updated?

The NPPES record for Roslyn Moore was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.