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LESLIE MOORE NP
NPI 1871961821
Nurse Practitioner - Adult Health in Fayetteville, GA

Active since September 08, 2015PECOS EnrolledAccepts Medicare Assignment
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(404) 367-3014(404) 367-3558 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2018, Dec 2, 2015 (2 updates tracked since 2015).

About Leslie Moore Np NPPES

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

LESLIE MOORE NP (NPI 1871961821) is an individual adult health provider in Fayetteville, Georgia, licensed in Georgia (RN227918) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871961821
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLESLIE MOORECredential: NP
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address1255 Highway 54 WFayetteville, GA 30214-4526 · (404) 367-3014 · Fax (404) 367-3558
Phone(404) 367-3014
Fax(404) 367-3558
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 8, 2015
Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration
✔ NPI 1871961821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN227918
1255 HIGHWAY 54 W, Fayetteville, GA 30214
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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

Leslie Moore Np 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 ID7113228636
PECOS Enrollment IDI20151229000045
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

3

Medicare enrollment records show Leslie Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dynamic Med LLC
11 mi
Adult Health
238 STOCKBRIDGE RD
Jonesboro, GA 30236
  • Reassigned Medicare billing, Georgia enrollment
NPI 1700760196 (470) 908-0226
Piedmont Healthcare Inc
17 mi
Cardiovascular Disease
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 87 clinicians in this Medicare group
NPI 1376624940 (404) 605-3368
The Southeast Permanente Medical Group
29 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ROBIN LOWMAN WHITE
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-6911
DANIEL LEE DUNCAN
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
MRS. LISA LAJUNE SMITH PT, M.ED.
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7183
ANGELA MILLER FNP
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-6799
TIFFANY DEANNA LANCE M.D.
Anesthesiology
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
CALLIE KENNEDY
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
SAFEGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (469) 401-2386
ASHLEY ANN LOUNDS CRNA
Nurse Anesthetist, Certified Registered
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000

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 Leslie Moore's NPI number?

The NPI number for Leslie Moore is 1871961821. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Leslie Moore located?

Leslie Moore practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (404) 367-3014.

What is Leslie Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Leslie Moore enrolled in Medicare?

Yes. Leslie 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 Leslie Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Moore reassigns Medicare benefits to 3 organizations: Dynamic Med LLC (Jonesboro, GA), Piedmont Healthcare Inc (Stockbridge, GA) and The Southeast Permanente Medical Group (Atlanta, GA). 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 Leslie Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leslie Moore was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.