Gregory Robert Moore, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

65031 Issued in GA

Practice address

Stamps Health Services
740 Ferst Dr NW
Atlanta, GA 30332-0470

Phone

(404) 894-2587

Fax

(404) 385-3257

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Georgia Institute of Technology

  • Student Health Clinic/Center
  • Atlanta, GA
  • NPI 1396873527
  NPD (past) Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1497737993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STAMPS HEALTH SERVICES",
            "address_2": "740 FERST DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-2587",
            "fax_number": "404-385-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STAMPS HEALTH SERVICES",
            "address_2": "740 FERST DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-2587",
            "fax_number": "404-385-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "65031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Djimon Moore
• Ellen Kay Moore, LCSW
• Erica Latrice Moore, CRNA
• Eyona Moore
• Gerald Dwayne Moore II
• Ignacita Moore
• Jasmine Monet Moore, RN
• Jennifer E. Moore, PA
• Jennifer Lawson Moore, MSN
• Jessica Moore

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.