1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Specialist
  6. NPI Profile

BRIDGETT MOORE M.D.
NPI 1679764757
Specialist in Valdosta, GA

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
2810 N OAK ST, VALDOSTA, GA 31602(229) 259-0019(229) 259-0209 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgett Moore M.d. NPPES

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

BRIDGETT MOORE M.D. (NPI 1679764757) is an individual specialist in Valdosta, Georgia, licensed in Georgia (39418) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Emory University School Of Medicine (1992).

NPPES Registry Identity

NPI1679764757
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBRIDGETT MOORECredential: M.D.
Location Address2810 N OAK STValdosta, GA 31602-1716
Mailing Address2810 N Oak StValdosta, GA 31602-1716 · (229) 259-0019 · Fax (229) 259-0209
Phone(229) 259-0019
Fax(229) 259-0209
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1992
Enumeration DateAugust 5, 2007
Last NPPES UpdateMarch 26, 2015
✔ NPI 1679764757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 39418
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2810 N OAK ST, Valdosta, GA 31602
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN24BCBRCGA
Other598880GA · Bcbs Ga Provider #
Medicare UPINH01627GA
Other110206439GA · Medicare Rr Provider #
Medicaid00830277AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Bridgett Moore M.d. 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 ID5799857470
PECOS Enrollment IDI20080714000033
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 4

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.
72 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
39 services26 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

MRS. DERRICK LEIGH EASOM
Nurse Practitioner
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 938-6495
CANDACE ISABEL ROMAN
Nurse Practitioner
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 259-0019
AZALEA CENTER FOR PLASTIC SURGERY PC
Specialist
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 259-0019

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 Bridgett Moore's NPI number?

The NPI number for Bridgett Moore is 1679764757. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Bridgett Moore located?

Bridgett Moore practices at 2810 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 259-0019.

What is Bridgett Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bridgett Moore enrolled in Medicare?

Yes. Bridgett 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 Bridgett Moore affiliated with any hospitals?

According to CMS data, Bridgett Moore is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Bridgett Moore was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.