Individual provider Active NPI

Duane P. Moores, M.D.

  • Hematology & Oncology Physician
  • Brunswick, GA
National Provider Identifier
1598755191
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
046998 Issued in GA
Practice address
2500 Starling St Ste 303
Brunswick, GA 31520-4268
Phone
(912) 466-5506
Fax
(912) 466-5513
NPI assigned
Oct 25, 2005
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 046998 GA Primary

Addresses

Primary practice location

2500 Starling St Ste 303
Brunswick, GA 31520-4268

Mailing address

2500 Starling St Ste 303
Brunswick, GA 31520-4268
Phone (912) 466-5506

Other identifiers 2

IdentifierTypeStateIssuer
00830167AMedicaidGA
774352OtherGABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000449 GA Practitioner - Hematology/Oncology 2769554260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Georgia Hematology/Oncology Assoc. CurrentSince May 21, 2008 Accepting new patients
Cooperative Healthcare Services Inc Hematology & Oncology CurrentSince Jul 5, 2011 Accepting new patients
Coastal Neurology and Neurosurgery Past Accepting new patients

Locations

1111 Glynco Pkwy
Ste 500
Brunswick, GA 31525
Phone (912) 261-0080

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 303
Brunswick, GA 31520
Phone (912) 261-4998

2500 Starling St
Ste 506
Brunswick, GA 31520
Phone (912) 264-9670

2040 Dan Proctor Dr
Ste 210
Saint Marys, GA 31558
Phone (866) 403-3376

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1598755191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 303",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204268",
            "telephone_number": "912-466-5506",
            "fax_number": "912-466-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 303",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204268",
            "telephone_number": "912-466-5506",
            "fax_number": "912-466-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORES",
        "first_name": "DUANE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "046998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00830167A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "774352",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.