Stephen Michael Moorman, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN093713 NP Issued in GA

Practice address

465 Millstone Cir
Athens, GA 30605-4939

Phone

(706) 354-0266

NPI assigned

Jan 30, 2009

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1710125612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MILLSTONE CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054939",
            "telephone_number": "706-354-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MILLSTONE CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054939",
            "telephone_number": "706-354-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN093713 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lewis Moore, MD
• Jeffrey A. Moore, MD
• Jessica Moore, PHARMD
• Kellie Moore, DPT
• Myesha D Moore, LPN
• William F B Moorman, MD
• Amy Morales, CRNA
• Victor Morales, M.D.
• Sritha Moram, DO
• Alain Marcel Morel Ovalle, MD

• Adult Health Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.