Active NPI
Martha Jeanne Moore, M.D.
- Family Medicine Physician
- Livingston, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45921
- Practice address
- 500 W Main St
Livingston, TN 38570-1718 - Phone
- (931) 823-5681
- Fax
- (931) 823-8203
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD058674L | PA | |
| Family Medicine Physician | 207Q00000X | 45921 | TN | Primary |
Addresses
Primary practice location
500 W Main St
Livingston, TN 38570-1718
Mailing address
PO Box 346
Livingston, TN 38570-0346
Phone (931) 403-1197
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0737905 | Other | PA | AETNA |
| 251830873 | Other | PA | COMMERCIAL |
| 93789 | Other | PA | HEALTH AMERICA ASSURANCE |
| Q024962 | Medicaid | TN | |
| MO838156 | Other | PA | HIGHMARK |
| 0709123 | Other | PA | UNITED HEALTHCARE |
| 987266 | Other | PA | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pittsburgh School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Samaritan Way
Crossville, TN 38558-1401
Phone (931) 456-1576
119 W High St
Woodbury, TN 37190-1226
Phone (615) 563-5939
120 Pitcock LN
Celina, TN 38551-4058
Phone (931) 243-3139
257 Patton LN
Harriman, TN 37748-8618
Phone (865) 354-3941
409 Park Ave
Adamsville, TN 38310-2461
Phone (731) 632-3301
501 19TH St
Knoxville, TN 37916-1854
Phone (865) 370-2830
520 Old Hwy 68
Sweetwater, TN 37874-6258
Phone (423) 351-1105
600 Shawanee Rd
Harrogate, TN 37752-8305
Phone (423) 869-5376
803 Shannondale Way
Maryville, TN 37803-5972
Phone (865) 982-4599
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 682 |
| Removal of skin lesions | 11 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45921 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg - Livingston, LLC | Current | Accepting new patients | |
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current | Accepting new patients |
| Amg-Livingston LLC | Current | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
409 Park Ave
Adamsville, TN 38310
Phone (731) 541-4923
725 Cool Springs Blvd
Ste 600
Franklin, TN 37067
Phone (888) 250-6394
500 W Main St
Livingston, TN 38570
Phone (931) 823-4016
Interoperability endpoints
- gpi7359@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
TN
-
- Orthopaedic Surgery Physician
- Livingston, TN
- NPI 1699869297
-
- Hospitalist Physician
- Livingston, TN
- NPI 1134581747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1336127513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385700346",
"telephone_number": "931-403-1197",
"fax_number": "931-403-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-5681",
"fax_number": "931-823-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MARTHA",
"middle_name": "JEANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD058674L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "45921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0737905",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "251830873",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ASSURANCE",
"identifier": "93789",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q024962",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "MO838156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0709123",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "987266",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.