ROSLYN MOORE – Nurse Practitioner, NPI 1437875879
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for ROSLYN MOORE
5723 Memorial Dr
Stone Mountain, GA 300833425
Phone: (678) 937-0300
Fax: (781) 464-2599
Type: Location
185 OLD PEACHTREE RD NW
SUWANEE, GA 300242511
Phone: (678) 937-0300
Fax: (781) 464-2599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $512.
Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: ABBVIE INC. ($148).
Total Amount
$512
General + Research + Ownership
Payments
22
Total payment records
General Amount
$512
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $148 |
| Aurinia Pharma U.S., Inc. | $114 |
| Janssen Biotech, Inc. | $67 |
| Lilly USA, LLC | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221110002380 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30083)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | FL | |
| Nephrology, Internal Medicine | GA | |
| Internal Medicine, Nephrology | AZ | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| Nurse Practitioner | GA |
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