Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 19, 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
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

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

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.

Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5114
AUGUSTA, GA 30912

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 with the weekly NPPES data releases published by CMS.