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● Active Type 1 · Individual

Shireen Qureshi Moore, MD

Family Medicine·Evans, GA· NPI 1003042805 · Enumerated 2009 · 17 years on NPI
Moore is 1 of 43 family medicine providers in Evans and 1 of 5,540 in Georgia.
NPI age
17 years
Enumerated 2009-06-08
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-20
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5540 active family medicine providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
363 N Belair Rd
Evans, GA 308093096
📞 7066507563fax 7066509540
Mailing address
Po Box 2510
Evans, GA 308092510
📞 7069228251fax 7069228251

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #68456 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) 68456 LICENSE

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Family Practice
Medical school
Medical College Of Georgia School Of Medicine
Graduation year 2009
Largest Medicare group
406 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Center For Primary Care Pc
  • Georgialina Physical Therapy Associates Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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