Individual provider Active NPI

Martha Jeanne Moore, M.D.

  • Family Medicine Physician
  • Livingston, TN
National Provider Identifier
1336127513
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45921 Issued in TN
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

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0737905OtherPAAETNA
251830873OtherPACOMMERCIAL
93789OtherPAHEALTH AMERICA ASSURANCE
Q024962MedicaidTN
MO838156OtherPAHIGHMARK
0709123OtherPAUNITED HEALTHCARE
987266OtherPAHIGHMARK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209001441 TN Practitioner - Family Practice 2567644487 Reassigns benefits to 2 organizations

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue682
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45921TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg - Livingston, LLC CurrentSince Oct 31, 2016 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Aug 30, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.