ROSLYN MOORE
NPI 1437875879
Nurse Practitioner in Suwanee, GA

Q: 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.

Q: What is Roslyn Moore's specialty?

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

Q: 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 7 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.

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: August 09, 2026.

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

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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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)