RAVEN TPRING MOORE AGNP-C
NPI 1568041168
Nurse Practitioner in Covington, GA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
6175 NEWTON DR NE, COVINGTON, GA 30014(678) 342-6000 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Apr 2, 2021 (2 updates tracked since 2021).

About Raven Tpring Moore Agnp-c NPPES

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

RAVEN TPRING MOORE AGNP-C (NPI 1568041168) is an individual nurse practitioner in Covington, Georgia, licensed in Georgia (RN277339) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1568041168
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRAVEN TPRING MOORECredential: AGNP-C
Location Address6175 NEWTON DR NECovington, GA 30014-2690
Mailing Address2878 Five Forks Trickum RdLawrenceville, GA 30044-5896 · (678) 344-8700
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2022
Enumeration DateApril 2, 2021
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
NPI 1568041168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN277339
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 ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License RN277339 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN277339 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN277339 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN277339 (GA)
6175 NEWTON DR NE, Covington, GA 30014

Secondary Practice Location 1

Location 12878 Five Forks Trickum RdLawrenceville, GA 30044-5896 · Phone (678) 344-8700

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

Raven Tpring Moore Agnp-c 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 ID9234593690
PECOS Enrollment IDI20230919000486
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.

Areas of Expertise CMS Part B claims 15

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services124 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
153 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
120 services95 patients
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.
76 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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 9

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

Family Medicine
6175 NEWTON DR NE
COVINGTON, GA 30014
Nurse Practitioner (Family)
6175 NEWTON DR NE
COVINGTON, GA 30014
Internal Medicine
6175 NEWTON DR NE
COVINGTON, GA 30014
Physician Assistant
6175 NEWTON DR NE
COVINGTON, GA 30014
Nurse Practitioner
6175 NEWTON DR NE
COVINGTON, GA 30014
Internal Medicine
6175 NEWTON DR NE
COVINGTON, GA 30014
Nurse Practitioner (Primary Care)
6175 NEWTON DR NE
COVINGTON, GA 30014
Nurse Practitioner (Family)
6175 NEWTON DR NE
COVINGTON, GA 30014

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 Raven Moore's NPI number?

The NPI number for Raven Moore is 1568041168. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Raven Moore located?

Raven Moore practices at 6175 Newton Dr NE, Covington, GA 30014. The listed phone number is (678) 342-6000.

What is Raven Moore's specialty?

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

Is Raven Moore enrolled in Medicare?

Yes. Raven 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.

Is Raven Moore affiliated with any hospitals?

According to CMS data, Raven Moore is affiliated with Piedmont Newton Hospital.

When was this NPI record last updated?

The NPPES record for Raven Moore was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.