NPIMap

Individual provider Active NPI

Mark D. Moers, M.D.

  • Family Medicine Physician
  • Dahlonega, GA
National Provider Identifier
1962495234
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045555 Issued in GA
Practice address
95 Morrison Moore Pkwy W
Dahlonega, GA 30533-1588
Phone
(706) 864-3323
Fax
(706) 864-4484
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045555 GA Primary

Addresses

Primary practice location

95 Morrison Moore Pkwy W
Dahlonega, GA 30533-1588

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other identifiers 1

IdentifierTypeStateIssuer
00793988BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoers29349@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001240 GA Practitioner - Family Practice 4981688777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

95 Morrison Moore Pkwy W
Dahlonega, GA 30533-1588
Phone (706) 864-3323

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Jun 1, 2002 Accepting new patients
Northeast Georgia Physicians Group Urgent Care LLC Family Medicine CurrentSince Feb 19, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

95 Morrison Moore Pkwy W
Dahlonega, GA 30533
Phone (706) 864-3323

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

601 S Enota Dr NE
Ste Q
Gainesville, GA 30501
Phone (770) 219-6602

Interoperability endpoints

  • Direct secure messaging: mmoers29349@nghs.gadirect.net

Organizations & group practices 4

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 5

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1962495234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MORRISON MOORE PKWY W",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331588",
            "telephone_number": "706-864-3323",
            "fax_number": "706-864-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERS",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793988B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoers29349@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "95 Morrison Moore Pkwy W",
            "city": "Dahlonega",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305331588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.