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MICHAEL SHAWN MCMORAN
NPI 1538276597
Dentist - Pediatric Dentistry in Cumming, GA

Active since August 24, 2006Opted out of Medicare · through Apr 1, 2028
5830 BOND ST, SUITE 350, CUMMING, GA 30040(404) 520-3223 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Shawn Mcmoran NPPES

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

MICHAEL SHAWN MCMORAN (NPI 1538276597) is an individual pediatric dentistry provider in Cumming, Georgia, licensed in Georgia (14947) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538276597
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMICHAEL SHAWN MCMORAN
Location Address5830 BOND ST, SUITE 350Cumming, GA 30040-0307
Mailing Address5830 Bond St, Suite 350Cumming, GA 30040-0307 · (404) 520-3223
Phone(404) 520-3223
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateMarch 30, 2016
✔ NPI 1538276597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in GA · 14947✔ Licensed in AR · 3235
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5830 BOND ST, Cumming, GA 30040
Open in Google Maps ↗

Other Identifiers 1

Medicaid154921608AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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

Michael Shawn Mcmoran 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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

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.

DR. PINECCA J PATEL-RAVAL DPM
Podiatrist (Foot & Ankle Surgery)
5830 BOND ST, STE 200
CUMMING, GA 30040
Forsyth County (770) 455-4009
PHYSICIANS 2 YOU, INC
Internal Medicine
5830 BOND ST, SUITE 200-C
CUMMING, GA 30040
Forsyth County (508) 250-7191
DOMINION ORTHOPAEDIC CLINIC, LLC
Durable Medical Equipment & Medical Supplies
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 455-4009
DR. GARY STEVEN ORRIS M.D.
General Practice
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 205-5518
MS. CONNIS NORWOOD NP-C
Clinical Nurse Specialist (Family Health)
5830 BOND ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 205-5518

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 Michael Mcmoran's NPI number?

The NPI number for Michael Mcmoran is 1538276597. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Michael Mcmoran located?

Michael Mcmoran practices at 5830 Bond St Suite 350, Cumming, GA 30040. The listed phone number is (404) 520-3223.

What is Michael Mcmoran's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Michael Mcmoran enrolled in Medicare?

No. Michael Mcmoran has opted out of Medicare through April 1, 2028. 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 Michael Mcmoran accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Michael Mcmoran 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 Michael Mcmoran was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.