Moore Foot and Ankle Solutions, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001181 Issued in GA

Legal business name

MOORE FOOT AND ANKLE SOLUTIONS, LLC

Practice address

4100 Riverside Dr Ste 97
Macon, GA 31210-1848

Phone

(478) 216-5534

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Moore, DPMNPI 1104111590

Title

Podiatrist

Phone

(478) 216-5534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Emmanual Moore, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Warner Robins, GA
  • NPI 1104111590
  Medicare reassignment Authorized official
• Monique R Delay-Moore, LCSW

  • Clinical Social Worker
  • Macon, GA
  • NPI 1467697524
  NPD
• Amber Renee Mize, LCSW

  • Clinical Social Worker
  • Warner Robins, GA
  • NPI 1598276925
  NPD

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1023563210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 RIVERSIDE DR STE 97",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101848",
            "telephone_number": "478-216-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 RIVERSIDE DR STE 97",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101848",
            "telephone_number": "478-216-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE FOOT AND ANKLE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "478-216-5534",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Moody
• Melissa Moody, OTA
• Robert Benjamin Moody III, RPH.
• Moodycare Inc. (Coliseum Park Professional Pharmacy)
• Heeseo Moon
• Aubrey Moore
• Ba'Sharra Aneka Moore, NP
• Carita Q. Moore
• Deborah D Moore, PAC
• Elizabeth Moore, NP

• Foot & Ankle Surgery Podiatrist in Macon, GA
• Providers in Macon, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.