Active NPI
Anna Maria Moore
- Chiropractor
- Tyrone, GA
National Provider Identifier
1306026380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007386
- Practice address
- 510 Swanson Rd
Tyrone, GA 30290-6900 - Phone
- (770) 964-5230
- Fax
- (770) 964-5260
- NPI assigned
- Nov 7, 2007
- Last updated
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007386 | GA | Primary |
Addresses
Primary practice location
510 Swanson Rd
Tyrone, GA 30290-6900
Mailing address
510 Swanson Rd
Tyrone, GA 30290-6900
Phone (770) 964-5230
Other names 1
- Anna Moore Just-Buddy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 Swanson Rd
Tyrone, GA 30290-6900
Phone 7709645230103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007386 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Anna Chiropractor Services LLC | Chiropractor | Current | Accepting new patients |
| Health Concepts I | Chiropractor | Past | Accepting new patients |
| Health Concepts | Chiropractor | Past | Accepting new patients |
Locations
510 Swanson Rd
Tyrone, GA 30290
Phone (770) 908-3449
Interoperability endpoints
- https://api.platform.athenahealth.com/8327/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Just E Buddy Health Systems
- Chiropractor
- Tyrone, GA
- NPI 1346509635
-
- Chiropractor
- Fayetteville, GA
- NPI 1801099726
-
- Chiropractor
- Fayetteville, GA
- NPI 1487984191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1306026380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SWANSON RD",
"city": "TYRONE",
"state": "GA",
"postal_code": "302906900",
"telephone_number": "770-964-5230",
"fax_number": "770-964-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SWANSON RD",
"city": "TYRONE",
"state": "GA",
"postal_code": "302906900",
"telephone_number": "770-964-5230",
"fax_number": "770-964-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANNA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "007386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "JUST-BUDDY",
"middle_name": "MOORE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.