DR. CLIFF CHANDLER MOORE MD
NPI 1831891274
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 20, 2023PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Cliff Chandler Moore Md NPPES

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

DR. CLIFF CHANDLER MOORE MD (NPI 1831891274) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831891274
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CLIFF CHANDLER MOORECredential: MD
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 793-5000
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1831891274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
677 CHURCH ST NE, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Cliff Chandler Moore Md 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.

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.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060

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 Cliff Moore's NPI number?

The NPI number for Cliff Moore is 1831891274. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Cliff Moore located?

Cliff Moore practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Cliff Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cliff Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cliff Moore was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.