TRENTON K MOORE (MMSC, PA-C, MS, ATC) – Physician Assistant, NPI 1497162994
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for TRENTON K MOORE (MMSC, PA-C, MS, ATC)
2306 WISTERIA DR STE 240
SNELLVILLE, GA 300783563
Phone: (678) 344-4944
Type: Mailing
1829 LAWRENCEVILLE HWY
DECATUR, GA 300335728
Phone: (404) 292-8335
Type: Mailing
1364 CLIFTON RD NE
ATLANTA, GA 303221059
Phone: (404) 727-3832
Type: Mailing
2069 Teron Trce
Dacula, GA 300191665
Phone: (770) 237-3756
Type: Location
1900 Riverside Pkwy
Lawrenceville, GA 300435925
Phone: (770) 237-3475
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $611.
Total Amount is formed as General ($611) + Research ($0) + Ownership ($0) = $611.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($405).
Total Amount
$611
General + Research + Ownership
Payments
11
Total payment records
General Amount
$611
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Miach Orthopaedics, Inc. | $405 |
| Bioventus LLC | $51 |
| Vericel Corporation | $35 |
| ABBVIE INC. | $26 |
| ERMI Inc. | $21 |
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: 2021-08-27
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 |
|---|---|---|---|---|
| I20210827001040 | I | Physician Assistant | 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 30078)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| Orthopedic Surgery, Sports Medicine | PA | |
| Family Practice | TX | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.