RAVEN TPRING MOORE (AGNP-C) – Nurse Practitioner, NPI 1568041168
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for RAVEN TPRING MOORE (AGNP-C)
2878 Five Forks Trickum Rd
Lawrenceville, GA 300445896
Phone: (678) 344-8700
Type: Location
550 PEACHTREE ST NE
ATLANTA, GA 303082212
Phone: (404) 686-4411
Type: Mailing
2878 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 300445896
Phone: (678) 344-8700
Type: Mailing
6175 NEWTON DR NE
COVINGTON, GA 300142690
Phone: (678) 342-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,381.
Total Amount is formed as General ($1,381) + Research ($0) + Ownership ($0) = $1,381.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($235).
Total Amount
$1,381
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,381
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-09-19
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 |
|---|---|---|---|---|
| I20230919000486 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 148 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 43 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 32 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 28 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 25 | 25 | $0 |
Insurance plans in this area (ZIP 30044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| - | GA | |
| Physician Assistant | NY | |
| Physician Assistant | CO | |
| Internal Medicine | GA | |
| Physician Assistant | GA | |
| Family Practice, Emergency Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA |
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