Georganna Moore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905528 Issued in MS

Practice address

2580 Jackson Ave W Ste 44
Oxford, MS 38655-5497

Phone

(662) 234-9112

Fax

(662) 234-9058

NPI assigned

Aug 22, 2022

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

Enrolled in MS, NC2 enrollments

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.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCPC-17 LLCGroup PAC ID 5395030159, 8 clinicians

Family Clinic of New AlbanyGroup PAC ID 0345250767, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• MCPC-17, LLC

  dba FirstHealth Primary Care

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1518312073
  Medicare reassignment Care Compare group NPD
• Oak Hill Health Services, LLC

  dba Ole Town Med

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1265934012
  Medicare reassignment NPD
• Family Clinic of New Albany

  • Rural Health Clinic/Center
  • New Albany, MS
  • NPI 1609884733

  Family

  Care Compare group NPD
• MCPC-17, LLC

  dba FirstHealth Internal Medicine

  • Internal Medicine Physician
  • Sanford, NC
  • NPI 1386323319
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  dba Firsthealth Bariatric Center

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  dba Firsthealth Regional EMS System

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FirstHealth Cancer Center

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FH Moore Regional Hospital (Acute)

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1548989882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W STE 44",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555497",
            "telephone_number": "662-234-9112",
            "fax_number": "662-234-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W STE 44",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555497",
            "telephone_number": "662-234-9112",
            "fax_number": "662-234-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GEORGANNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel David Montgomery, MPT
• Tonya Moody, RN
• Allen Ryves Moore, M.D.
• Barbara Ann Moore, M.ED
• Elizabeth Ann Moore, PHD, LCSW
• Jenna Moore, MS, RD, LD
• Jennifer Rebecca Moore, A.T., C., M.ED.
• Kenyata Renarda Moore, M.S.
• Mary Christine Moore, CFNP
• Morgan Moore, PT, DPT

• Family Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.

Verify at the official NPI Registry.