Ross Glenn Moorman III, M.D.
Individual provider Active NPI Emergency Medicine Physician · Douglas, GA
NPI 1972608982 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1972608982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 034668 (GA)
- Practice address
- 2104 Redbird Trail
Douglas, GA 31533 - Phone
- (912) 260-2287
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coffee Regional Medical Center Inc
Coffee Emergency Group LLC
Practice addresses (Care Compare)
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
1101 Ocilla Rd
Douglas, GA 31533-2262
Phone (912) 383-5641
Hospital & facility affiliations
- Coffee Regional Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040405000610 | GA | Practitioner - Internal Medicine | 7214920578 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034668 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System in Waycross, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current |
Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current |
Accepting new patients | |
| Coffee Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Montgomery Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current |
Accepting new patients | |
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients | |
| Adel Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine South LLC | Emergency Medicine | Past | Accepting new patients |
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Locations
1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641
1301 Peterson Ave S
Ste B
Douglas, GA 31533
Phone (912) 383-6966
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 034668 | GA | Yes |
| Internal Medicine Physician | 207R00000X | 034668 | GA |
Addresses
Primary practice location
2104 Redbird Trail
Douglas, GA 31533
Mailing address
2104 Redbird Trail
Douglas, GA 31533
Phone (912) 260-2287
Other names
- Ross Glenn Moorman
Other providers in Douglas, GA
- John Boyd Moffet
- Denise E. Mooney
- Moore Optometry Services, Inc
- Moore Optometry Services, Inc
- Mark D Moore
- Sara Nikole Morris
- MPPG, Inc.
- Sadia Afrin Munna
- David Wayne Murphy
- Kevin Adam Murphy
All providers in Douglas, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.