ALISA MOORE CPNP
NPI 1750832168
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Alisa Moore's NPI number?

The NPI number for Alisa Moore is 1750832168. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Q: What is Alisa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Moore was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 20, 2016PECOS Enrolled

1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-7112(404) 785-3600 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021, Sep 28, 2020 and 1 more (4 updates tracked since 2016).

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About Alisa Moore Cpnp NPPES

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

ALISA MOORE CPNP (NPI 1750832168) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN210332) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750832168

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameALISA MOORECredential: CPNP

Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605

Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (404) 785-7112 · Fax (404) 785-3600

Phone(404) 785-7112

Fax(404) 785-3600

Sole ProprietorNo

Enumeration DateOctober 20, 2016

Last NPPES UpdateJune 6, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1750832168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN210332

1001 JOHNSON FY RD NE, Atlanta, GA 30342

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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)

Alisa Moore Cpnp 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 30342 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 20

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

ANDREA CENTER CPNP

Nurse Practitioner (Pediatrics, Critical Care)

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-5437

JIAQI TRACY LI PAA

Anesthesiologist Assistant

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-2008

KATE DANIELS

Health Educator

1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342

Fulton County (404) 785-2157

JONATHAN WERNER PAA

Anesthesiologist Assistant

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-2008

ANDREA KAYLYNE TAYLOR

Registered Nurse

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (706) 851-7597

ALEXIS BYRNE CARTER MD

Pathology (Anatomic Pathology & Clinical Pathology)

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-2069

MARK DOOLEY PAA

Anesthesiologist Assistant

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-2008

LAMA FERNANDEZ PAA

Anesthesiologist Assistant

1001 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 785-2008

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 Alisa Moore's NPI number?

The NPI number for Alisa Moore is 1750832168. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Alisa Moore located?

Alisa Moore practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-7112.

What is Alisa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Alisa Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alisa Moore was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.