MARTHA MICHELLE MOORE – Family Nurse Practitioner, NPI 1144739533
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARTHA MICHELLE MOORE
2799 LAWRENCEVILLE HWY STE 107
DECATUR, GA 300332517
Phone: (678) 739-1879
Type: Mailing
1890 PAXTON DR SW
LILBURN, GA 300473384
Phone: (773) 292-4800
Fax: (312) 564-4059
Type: Mailing
3480 Preston Ridge Rd Ste 425
Alpharetta, GA 300058891
Phone: (773) 292-4800
Fax: (312) 564-4059
Type: Location
Piedmont Henry Hospital
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone: (678) 575-7992
Type: Location
Piedmont Henry Hospital, 1133, Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Phone: (678) 575-7992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-05-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180608001135 | I | Nurse Practitioner | GA | TBD |
| I20190521003369 | I | Nurse Practitioner | CA | 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 30033)
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