Michaela Marie Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRNNP296510 Issued in GA

Practice address

100 Haystack LN Lot G2
Dublin, GA 31021-0066

Phone

(478) 278-7589

NPI assigned

Mar 17, 2025

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1508666801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYSTACK LN LOT G2",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210066",
            "telephone_number": "478-278-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYSTACK LN LOT G2",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210066",
            "telephone_number": "478-278-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRNNP296510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaquita M Moore, FNP
• Dana Lewis Moore, FNP-C
• Edward L. Moore, C.R.N.A.
• Kara Kirz Moore, LCSW
• Lucinda L. Moore, LPN
• Stephanie Wiggins Moore, RN
• Steven Moore, PA
• Drew Moorman
• Judy R Moorman, RN
• Terri Lynne Moorman, RPH

• All providers in Dublin, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.