DR. TANNER MATTSON MOORE MD
NPI 1467972935
Family Medicine in Fort Benning, GA

Active since June 26, 2017Opted out of Medicare · through Jul 1, 2027
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905(304) 672-3225(304) 672-3225 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2023, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Dr. Tanner Mattson Moore Md NPPES

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

DR. TANNER MATTSON MOORE MD (NPI 1467972935) is an individual family medicine provider in Fort Benning, Georgia, licensed in North Carolina (2021-00210) and active in the NPI registry since June 2017. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Fort Benning.

NPPES Registry Identity

NPI1467972935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TANNER MATTSON MOORECredential: MD
Location Address6600 VAN AALST BLVD BLDG 9250Fort Benning, GA 31905-2102
Mailing Address233 Austin LoopFort Benning, GA 31905-7300 · (304) 672-3225
Fax(304) 672-3225
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateJune 15, 20233 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1467972935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2021-00210
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6600 VAN AALST BLVD BLDG 9250, Fort Benning, GA 31905

Secondary Practice Location 1

Location 16600 Van Aalst BlvdFort Benning, GA 31905-2102 · Phone (304) 672-3225 · Fax (304) 672-3225

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tanner Mattson Moore Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Student in an Organized Health Care Education/Training Program
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Nurse Practitioner (Family)
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Physician Assistant (Surgical)
6600 VAN AALST BLVD BLDG 9250
COLUMBUS, GA 31905
Physical Therapist
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Dietitian, Registered
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Family Medicine
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905
Family Medicine
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905
Student in an Organized Health Care Education/Training Program
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

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 Tanner Moore's NPI number?

The NPI number for Tanner Moore is 1467972935. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Tanner Moore located?

Tanner Moore practices at 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905. The listed phone number is (304) 672-3225.

What is Tanner Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tanner Moore enrolled in Medicare?

No. Tanner Moore has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tanner Moore accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tanner 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 Tanner Moore was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.