Donna Elaine Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN179667 Issued in GA

Practice address

300 W Hospital Road
Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650

Phone

(707) 787-2720

Fax

(706) 787-8176

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, ID, TX3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Au Medical Associates Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933
  Medicare reassignment NPD
• Arctic Slope Native Association LTD

  • Critical Access Hospital
  • Barrow, AK
  • NPI 1306933643
  Medicare reassignment NPD
• St Alphonsus Professional Medical Services LLC

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• St Alphonsus Professional Medical Services LLC

  • Trauma Surgery Physician
  • Boise, ID
  • NPI 1336166883
  NPD
• Colquitt Regional Health Incorporated

  • Home Health Agency
  • Moultrie, GA
  • NPI 1558375840
  NPD (past)

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

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  Care Compare affiliation

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1033285838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300W HOSPITAL ROAD",
            "address_2": "EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "707-787-2720",
            "fax_number": "706-787-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL ROAD",
            "address_2": "EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "707-787-2720",
            "fax_number": "706-787-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "ELAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN179667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Molitor, MD
• Donald Gene Mondragon II, MD
• Ron Moody, MD
• James Mooney, MD
• Charles Tyree Moore, MS, RD, LD
• Lashawne Renee Moore, LPN
• Paul H Moore, PTA
• Raquel Lisa Morales, PHARM D
• James Michael Morgan, LCSW
• Mackenzie Kay Morgan

• Certified Registered Nurse Anesthetist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.