P Praxis·MD
● Active Type 1 · Individual

MS. Donna A Moore, APRN-C, PMHNP-BC, MS

Nurse Practitioner·Gainesville, GA· NPI 1003090150 · Enumerated 2007 · 18 years on NPI
Moore is 1 of 18 nurse practitioner providers in Gainesville and 1 of 1622 in Georgia.
NPI age
18 years
Enumerated 2007-12-26
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
GA, NY, CA, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
18 years
↑ 14 yr above median (4 yr)
State licenses
4 states
Top 88% — 12% of peers are multi-state
Subspecialties
3
In the 37% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
915 Interstate Ridge Dr
Gainesville, GA 305017076
📞 5164932203
Mailing address
599 Madison Park Dr
Grayson, GA 300177940
📞 5164932203

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
900 Franklin Ave
Valley Stream, NY 115802145
📞 5164932203
Location 3
599 Madison Park Dr
Grayson, GA 300177940
📞 5164932203
Location 4
801 W Bay Dr Ste 424
Largo, FL 337703234
📞 5164932203fax 5164932203

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN241756 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN241756CA license #95029693 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    FL license #11034073 taxonomy 363LP2300X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    NY license #5796691 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Gainesville in the last 180 days. See all →
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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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