Alexander Moore, M.D

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

71133 Issued in GA

Practice address

4502 Glenpointe Way SE
Smyrna, GA 30080-6985

Phone

(202) 213-2339

Fax

(678) 293-6860

NPI assigned

Apr 11, 2011

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Gwinnett Emergency Specialists Observation Services, LLC

  • Emergency Medicine Physician
  • Lawrenceville, GA
  • NPI 1720373129

  Emergency Medicine, GA

  Medicare reassignment NPD
• Northside Emergency Associates, LLC

  • Emergency Medicine Physician
  • Sandy Springs, GA
  • NPI 1285686303

  Emergency Medicine, GA

  Medicare reassignment NPD
• Seva Ca, PC

  • Multi-Specialty Clinic/Center
  • San Francisco, CA
  • NPI 1215871918
  NPD Authorized official

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1689964751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 GLENPOINTE WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806985",
            "telephone_number": "202-213-2339",
            "fax_number": "678-293-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 GLENPOINTE WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806985",
            "telephone_number": "202-213-2339",
            "fax_number": "678-293-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "71133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molecular7 DX
• Cesar Sebastian Molina Andrade, M.D.
• Angela Monette, LCSW
• Ashley Howard Montcalm, NP-C
• Angelica Montes-Sabino, D.D.S
• Brandi Alishia Moore, MS CCC-SLP
• Brandie Moore
• Brianna Moore, RBT
• Kellie Moore, LPC
• Sita Kamaria Moore, COTA/L

• All providers in Smyrna, GA
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.