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KIMIKO JEAN MOORE MD
NPI 1750843637
Family Medicine in Newnan, GA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
2401 NEWNAN CROSSING BLVD E STE 200, NEWNAN, GA 30265(770) 400-7700 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2025, Aug 26, 2022, Apr 1, 2019 (3 updates tracked since 2019).

About Kimiko Jean Moore Md NPPES

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

KIMIKO JEAN MOORE MD (NPI 1750843637) is an individual family medicine provider in Newnan, Georgia, licensed in Georgia (98646) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750843637
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMIKO JEAN MOORECredential: MD
Location Address2401 NEWNAN CROSSING BLVD E STE 200Newnan, GA 30265-2409
Mailing Address9200 Shelbyville Rd Ste 531Louisville, KY 40222-5132 · (502) 792-0236
Phone(770) 400-7700
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1750843637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 98646✔ Licensed in TN · 65954
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2401 NEWNAN CROSSING BLVD E STE 200, Newnan, GA 30265
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11308 Havenbrook DrNashville, TN 37207-2651 · Phone (615) 497-3978
Location 2253 W Main StGallatin, TN 37066-3290 · Phone (615) 461-8784
Location 33901 Central Pike Ste 500Hermitage, TN 37076-3431 · Phone (502) 792-0236

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimiko Jean Moore Md 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 ID9436533734
PECOS Enrollment IDI20240424003697
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kimiko Moore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Professional Services, LLC
31 mi
Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group
NPI 1104088905 (770) 801-2500
Piedmont Medical Care Corporation
36 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840
AFC Physicians Of Tennessee, PC
120 mi
Primary Care
3520 CUMMINGS HWY
Chattanooga, TN 37419
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1114234523 (423) 822-5942
Kdpctn
221 mi
Specialist
3901 CENTRAL PIKE STE 500
Hermitage, TN 37076
  • Reassigned Medicare billing, Tennessee enrollment
  • 13 clinicians in this Medicare group
NPI 1679262737 (615) 933-7300
Moore Life Healthcare, PC
230 mi
Urgent Care
253 W MAIN ST
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
NPI 1760877419 (615) 461-8784

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
91 services76 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.
85 services71 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.
48 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Other Providers at the Same Location NPPES 6

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

JIHYE KIM MD
Internal Medicine
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700
NATHAN SMITH MD
Family Medicine
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700
DR. ANDREW AUGUSTUS DUKE M.D.
Internal Medicine
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700
TIN L HAN MD
Internal Medicine
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700
SRAVANTHI SANIVARAPU
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700
EBOB BESONG OGORK MD
Internal Medicine
2401 NEWNAN CROSSING BLVD E STE 200
NEWNAN, GA 30265
Coweta County (770) 400-7700

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 Kimiko Moore's NPI number?

The NPI number for Kimiko Moore is 1750843637. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Kimiko Moore located?

Kimiko Moore practices at 2401 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265. The listed phone number is (770) 400-7700.

What is Kimiko Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimiko Moore enrolled in Medicare?

Yes. Kimiko 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.

Which organizations bill Medicare for Kimiko Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimiko Moore reassigns Medicare benefits to 5 organizations: Piedmont Professional Services, LLC (Stockbridge, GA), Piedmont Medical Care Corporation (Atlanta, GA), AFC Physicians Of Tennessee, PC (Chattanooga, TN), Kdpctn (Hermitage, TN) and Moore Life Healthcare, PC (Gallatin, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimiko Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimiko Moore accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kimiko Moore 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.

Is Kimiko Moore affiliated with any hospitals?

According to CMS data, Kimiko Moore is affiliated with Piedmont Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kimiko Moore was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.