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LACY AUTUMN MORAN NP
NPI 1902629389
Registered Nurse - Emergency in Calhoun, GA

Active since November 05, 2024PECOS Enrolled
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 602-7800 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacy Autumn Moran Np NPPES

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

LACY AUTUMN MORAN NP (NPI 1902629389) is an individual emergency provider in Calhoun, Georgia, licensed in Georgia (RN251152) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902629389
Entity TypeIndividualFemale
Primary Taxonomy163WE0003X
Provider Legal NameLACY AUTUMN MORANCredential: NP
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing Address1035 Red Bud Rd NeCalhoun, GA 30701-6010 · (706) 602-7800
Phone(706) 602-7800
Sole ProprietorNo
Enumeration DateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1902629389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in GA · RN251152
1035 RED BUD RD NE, Calhoun, GA 30701
Open in Google Maps ↗

Other Names 1

Former Name (1)Lacy Autumn Long

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Lacy Autumn Moran Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lacy Moran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gordon Emergency Physicians, LLC
0.1 mi
Emergency Medicine
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 80 clinicians in this Medicare group
NPI 1205290467 (706) 629-2895
Murray Emergency Physicians, LLC
20 mi
Emergency Medicine
707 OLD DALTON ELLIJAY RD
Chatsworth, GA 30705
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group
NPI 1043783970 (706) 695-4564

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

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.

MEGAN J COYLEWRIGHT M.D.
Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (423) 778-8258
JULIA ANNE RITTENHOUSE MD
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 879-4776
LAURA COTHERN CRNA
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 624-5079
KAWSAR ARSALAN PA-C
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 602-7800
DAVID E KLINE M.D.
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 602-7800
ANTHONY G CAPTAIN M.D.
Internal Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 879-4776
DR. ANGELA HORNE COLEMAN M.D.
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 879-4724
DR. HAK J LEE MD
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701
Gordon County (706) 879-4700

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 Lacy Moran's NPI number?

The NPI number for Lacy Moran is 1902629389. It was assigned to this individual provider in the NPPES registry on November 5, 2024. The provider is also known as Lacy Autumn Long.

Where is Lacy Moran located?

Lacy Moran practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 602-7800.

What is Lacy Moran's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

Is Lacy Moran enrolled in Medicare?

Yes. Lacy Moran is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lacy Moran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Moran reassigns Medicare benefits to 2 organizations: Gordon Emergency Physicians, LLC (Calhoun, GA) and Murray Emergency Physicians, LLC (Chatsworth, 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 Lacy Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Moran accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lacy Moran 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.

When was this NPI record last updated?

The NPPES record for Lacy Moran was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.