Drew Moorman

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

80961 Issued in GA

Practice address

104 Fairview Park Dr Ste 200
Dublin, GA 31021

Phone

(478) 304-1414

Fax

(478) 353-1353

NPI assigned

Nov 10, 2007

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drew.moorman.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Pediatrics

  NPD (past)
• Providence Pediatrics

  dba Atrium Health Levine Children's Providence Pediatrics

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1326078072
  NPD (past)

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1710167473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW PARK DR STE 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212565",
            "telephone_number": "478-304-1414",
            "fax_number": "478-353-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW PARK DR STE 200",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-304-1414",
            "fax_number": "478-353-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14214 Ballantyne Lake Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773372",
            "country_code": "US",
            "telephone_number": "704-667-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-10",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200800294",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "80961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Kirz Moore, LCSW
• Lucinda L. Moore, LPN
• Michaela Marie Moore
• Stephanie Wiggins Moore, RN
• Steven Moore, PA
• Judy R Moorman, RN
• Terri Lynne Moorman, RPH
• Jayasree Moparthy, MD
• Sambasivarao R Moparthy, M.D.
• Beverly B Morgan, RN

• Pediatrics Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.