DANA WILLIAMS MOORE – Family Nurse Practitioner, NPI 1487374161

DANA WILLIAMS MOORE is a healthcare provider. based in Commerce, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN247854 (GA). The NPI Number for DANA WILLIAMS MOORE is 1487374161

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DANA WILLIAMS MOORE
NPI
1487374161
Phone
(706) 336-0074
Address
415 POTTERY FACTORY DR
Enumeration Date
1 September 2022
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063360074
Graduation Year
2022 (4 years ago)
PAC ID
9830684901
Group Practice PAC ID
4385036011
Professional Enrollment ID
I20251217000930
Address ID
GA305296682CO415XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for DANA WILLIAMS MOORE

  • 415 POTTERY FACTORY DR

    COMMERCE, GA 305296682

    Phone: (706) 336-0074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Novo Nordisk Inc ($37).

Total Amount

$93

General + Research + Ownership

Payments

5

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251217000930INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30529)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385036011View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up DANA WILLIAMS MOORE by NPI?
Use NPI 1487374161 when you need to reference DANA WILLIAMS MOORE in forms, claims, or directories.
Is DANA WILLIAMS MOORE's NPI currently valid?
The extract we use shows DANA WILLIAMS MOORE as active.
Can you summarize DANA WILLIAMS MOORE's specialty in plain language?
Clinically, the directory lists DANA WILLIAMS MOORE with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for DANA WILLIAMS MOORE?
The page summarizes Commerce, Georgia for DANA WILLIAMS MOORE; expand the address list for detail.
How can I contact DANA WILLIAMS MOORE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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