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

Q: 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.

Q: What is Leslie Moore's specialty?

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

Q: 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 7 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 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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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