P Praxis·MD
● Active Type 1 · Individual

Matthew Douglas Moore, BSN, RN

Registered Nurse·Dallas, GA· NPI 1043045537 · Enumerated 2024 · 1 years on NPI
Moore is 1 of 3 registered nurse providers in Dallas and 1 of 91 in Georgia.
NPI age
1 years
Enumerated 2024-09-04
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 91 active registered nurse providers in Georgia.

NPI age
1 years
↓ 5 yr below median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
88 Sparkleberry Ln E
Dallas, GA 301327578
📞 7706057982
Mailing address
88 Sparkleberry Ln E
Dallas, GA 301327578

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN266385 taxonomy 163WA2000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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