DR. RANDOLPH S. MOORE D.M.D.
NPI 1528118429
Dentist - General Practice in Buford, GA

Q: What is Randolph Moore's NPI number?

The NPI number for Randolph Moore is 1528118429. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Randolph Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 11, 2007PECOS Enrolled

4470 COMMERCE DR STE B, BUFORD, GA 30518(770) 945-5369(770) 945-1246 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Randolph S. Moore D.m.d. NPPES

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

DR. RANDOLPH S. MOORE D.M.D. (NPI 1528118429) is an individual general practice provider in Buford, Georgia, licensed in Georgia (011288) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528118429

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDOLPH S. MOORECredential: D.M.D.

Location Address4470 COMMERCE DR STE BBuford, GA 30518-7510

Mailing Address4470 Commerce Dr Ste BBuford, GA 30518-7510 · (770) 945-5369 · Fax (770) 945-1246

Phone(770) 945-5369

Fax(770) 945-1246

Sole ProprietorYes

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528118429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 011288

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4470 COMMERCE DR STE B, Buford, GA 30518

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randolph S. Moore D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30518 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Randolph Moore's NPI number?

The NPI number for Randolph Moore is 1528118429. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Randolph Moore located?

Randolph Moore practices at 4470 Commerce Dr Ste B, Buford, GA 30518. The listed phone number is (770) 945-5369.

What is Randolph Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randolph Moore enrolled in Medicare?

Yes. Randolph Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randolph Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.