NPIMap

Individual provider Active NPI

Shireen Qureshi Moore, MD

  • Family Medicine Physician
  • Evans, GA
National Provider Identifier
1003042805
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68456 Issued in GA
Practice address
363 N Belair Rd
Evans, GA 30809-3096
Phone
(706) 650-7563
Fax
(706) 650-9540
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68456 GA Primary

Addresses

Primary practice location

363 N Belair Rd
Evans, GA 30809-3096

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other identifiers 1

IdentifierTypeStateIssuer
68456OtherGALICENSE

Other names 1

  • Shireen Qureshi Fischer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shireen.moore.1@26418.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121121000401 GA Practitioner - Family Practice 9638320682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1701 Magnolia Way
Suite 102
Augusta, GA 30909-9484
Phone (706) 922-6699

254 Furys Ferry Rd
Augusta, GA 30907-3118
Phone (706) 986-0999

3614 J Dewey Gray Cir
Suite D
Augusta, GA 30909-6512
Phone (706) 868-7380

363 N Belair Rd
Evans, GA 30809-3096
Phone (706) 650-7563

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Statesboro, GA, CCN 117033
  • Enhabit Home Health Home health agency, Hartwell, GA, CCN 117069
  • Amedisys Home Health Care Home health agency, Augusta, GA, CCN 117081
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68456GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients

Locations

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

Interoperability endpoints

  • Direct secure messaging: shireen.moore.1@26418.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26418/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1003042805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093096",
            "telephone_number": "706-650-7563",
            "fax_number": "706-650-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHIREEN",
        "middle_name": "QURESHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "68456",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shireen.moore.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "363 N Belair Rd",
            "city": "Evans",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308093096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHIREEN",
            "last_name": "FISCHER",
            "middle_name": "QURESHI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.