Darren D Moore, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001256 Issued in GA

Practice address

3025 University Ave Ste 202
Columbus, GA 31907-2101

Phone

(612) 296-3758

Fax

(762) 359-7528

NPI assigned

Oct 17, 2012

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 Philosophy

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.

• The Corporation of Mercer University

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1841171998
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1588917397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE STE 202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "612-296-3758",
            "fax_number": "762-359-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE STE 202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "612-296-3758",
            "fax_number": "762-359-7528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 1st St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012852",
            "country_code": "US",
            "telephone_number": "478-301-5930",
            "fax_number": "478-301-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DARREN",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon Road Cosmetic & Family Dentistry
• Jasmine S Moon
• Megan Marie Mooney, M.S., NCC
• John Moore Sr.
• Denise Moore-Ebhohimen, D.D.S
• Emily Renay Moore
• Erica Moore
• Haley Moore
• Kiera Moore, RBT
• Lattisha Moore

• Marriage & Family Therapist in Columbus, GA
• Providers in Columbus, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.