Active NPI
Robert James Moore, D.C.
- Chiropractor
- Ft Oglethorpe, GA
National Provider Identifier
1245669290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009569
- Practice address
- 955 Battlefield Pkwy
Ft Oglethorpe, GA 30742-3945 - Phone
- (706) 866-7575
- NPI assigned
- Nov 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2721 | TN | |
| Chiropractor | 111N00000X | CHIR009569 | GA | Primary |
Addresses
Primary practice location
955 Battlefield Pkwy
Ft Oglethorpe, GA 30742-3945
Mailing address
955 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3945
Phone (706) 866-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140107000919 | TN | Practitioner - Chiropractic | 4183852668 |
Reassigns benefits to 1 organization Practice locations: Cleveland, TN |
| I20201026001569 | GA | Practitioner - Chiropractic | 4183852668 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
801 Chickamauga Ave
Rossville, GA 30741-1406
Phone (423) 653-6977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009569 | GA | MD | Chiropractor |
| 2721 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Back to Health Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Johnson Clinic of Chiropractic P.C. | Past | Accepting new patients | |
| Cinderella Wigs Inc | Past | Accepting new patients | |
| Cleveland Pain Management, PC | Chiropractor | Past | Accepting new patients |
| Deroos Family & Pediatric Health Center PC | Chiropractor | Past | Accepting new patients |
| Total Health PLLC | Chiropractor | Past | Accepting new patients |
Locations
801 Chickamauga Ave
Rossville, GA 30741
Phone (423) 653-6977
3536 Cummings Hwy
Ste 120
Chattanooga, TN 37419
Phone (423) 825-5252
Organizations & group practices 7
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.
-
- Chiropractor
- Rossville, GA
- NPI 1932714086
-
- Chiropractor
- Chattanooga, TN
- NPI 1689150757
-
- Prosthetic/Orthotic Supplier
- Rossville, GA
- NPI 1083836860
-
- Orthopedic Chiropractor
- Ft. Oglethorpe, GA
- NPI 1598934309
-
- Chiropractor
- Cleveland, TN
- NPI 1770613465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1245669290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423945",
"telephone_number": "706-866-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 BATTLEFIELD PKWY",
"city": "FT OGLETHORPE",
"state": "GA",
"postal_code": "307423945",
"telephone_number": "706-866-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-09",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2721",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.