Individual provider Active NPI

Lorah Robin Moye, FNP

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1710346374
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN173451 Issued in GA
Practice address
1044 Bermuda Run
Statesboro, GA 30458
Phone
(912) 871-2273
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 RN173451 GA Primary

Addresses

Primary practice location

1044 Bermuda Run
Statesboro, GA 30458

Mailing address

1044 Bermuda Run
Statesboro, GA 30458

Other names 1

  • Robin Moye Professional 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
I20220418001280 GA Practitioner - Nurse Practitioner 2264829472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Family Medicine of Georgia, LLCGroup PAC ID 6608914056, 10 clinicians

Practice addresses (Care Compare)

1140 Brampton Ave
Statesboro, GA 30458-0847
Phone 9128712273128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Family Medicine of Georgia, LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

308 E Long St
Claxton, GA 30417
Phone (912) 290-5235

1044 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-2273

1140 Brampton Ave
Statesboro, GA 30458
Phone (912) 871-2273

Organizations & group practices 1

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 2

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1710346374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-871-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYE",
        "first_name": "LORAH",
        "middle_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN173451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "MOYE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.