Adrienne L Moore

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

946 McAfina TRL
Valdosta, GA 31602-1984

Phone

(229) 269-6472

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1154826261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 MCAFINA TRL",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021984",
            "telephone_number": "229-269-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 MCAFINA TRL",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021984",
            "telephone_number": "229-269-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADRIENNE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne D Montgomery, CCC-SLP
• Myan Simone Montgomery
• Raymond Avery Moody III, D.O.
• Patrick Moon, DPT
• Adam Rhett Moore, PHARMD
• Amanda Martin Moore, D.P.T., OT
• Barbara Ann Moore, LMFT
• Bridgett Moore, M.D.
• Daphne Moore
• Hannah Moore, PMHNP-BC

• Contractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.