Geraldine L Moore, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

086734 Issued in GA

Practice address

5805 State Bridge Rd
Duluth, GA 30097-8220

Phone

(678) 495-0162

Fax

(678) 495-0163

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Geraldine L Dunston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• David E Kim MD PC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1194919381
  NPD (past)
• The Healthcaring Clinic of Georgia, LLC

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1669539508
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568516425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 MOUNTAIN VIEW PT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876022",
            "telephone_number": "770-469-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "678-495-0162",
            "fax_number": "678-495-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GERALDINE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "086734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALDINE",
            "last_name": "DUNSTON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Moon, DPM
• Ha Young Moon, RPH
• Yechan Moon, DC
• Elizabeth M Moore, CNS
• Emma Moore
• Marlott Moore
• Dave Moorthy, LPC
• Morale Ocain Beauty Corp
• Nefretiti A Morant
• Michelle Morante, P.A.

• Family Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.