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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELLIOTT MATTHEW MOORE
NPI 1912851007
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since February 24, 2026
1120 15TH ST # GC5114, AUGUSTA, GA 30912(706) 721-2411 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elliott Matthew Moore NPPES

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

DR. ELLIOTT MATTHEW MOORE (NPI 1912851007) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (DN124199) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1912851007
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ELLIOTT MATTHEW MOORE
Location Address1120 15TH ST # GC5114Augusta, GA 30912-0004
Mailing Address1120 15th St # Gc5114Augusta, GA 30912-0004
Phone(706) 721-2411
Sole ProprietorYes
Enumeration DateFebruary 24, 2026
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1912851007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · DN124199
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.
1120 15TH ST # GC5114, Augusta, GA 30912
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Other Providers at the Same Location NPPES 18

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

ABIGAIL STEWART
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-7330
VIVIAN JANKARY AVENDANO ALGARIN
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-7330
KATELYN DEGUZMAN
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-2371
ANGELA M HULSE STUDENT
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-7330
WILLIAM RUSSELL FARMER
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (662) 832-1099
KIMBER LEANNE HALEY
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-2371
CAMERON ALI EMAM
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-7330
HANNAH WHITT COX
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Richmond County (706) 721-2251

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 Elliott Moore's NPI number?

The NPI number for Elliott Moore is 1912851007. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Elliott Moore located?

Elliott Moore practices at 1120 15th St # Gc5114, Augusta, GA 30912. The listed phone number is (706) 721-2411.

What is Elliott Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Elliott Moore was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.