Individual provider Active NPI

Hillary Lee Moinipour, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1659066652
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN228167 Issued in GA
Practice address
1508 Hardeman Ave Ste a
Macon, GA 31201-1471
Phone
(478) 742-3704
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN228167 GA Primary

Addresses

Primary practice location

1508 Hardeman Ave Ste a
Macon, GA 31201-1471

Mailing address

1508 Hardeman Ave Ste a
Macon, GA 31201-1471

Other names 1

  • Hillary Moinipour Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000203 GA Practitioner - Nurse Practitioner 8022475458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Georgia Rheumatology LLCGroup PAC ID 7113246760, 4 clinicians

Practice addresses (Care Compare)

1508 A Hardeman Ave
Macon, GA 31201-1471
Phone 4787423704200

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Georgia Rheumatology LLC CurrentSince Apr 5, 2023 Accepting new patients
Nannette R Crowley MD LLC Past Accepting new patients

Locations

1508B Hardeman Ave
Macon, GA 31201
Phone (478) 741-7337

1508 Hardeman Ave
Ste A
Macon, GA 31201
Phone (478) 742-3704

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CICBAA/Endpoint/CICBAA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1659066652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HARDEMAN AVE STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HARDEMAN AVE STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011471",
            "telephone_number": "478-742-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINIPOUR",
        "first_name": "HILLARY",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "MOINIPOUR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.