P Praxis·MD
● Active Type 1 · Individual

MS. Vanessa Josephine Moore

Specialist·Thunderbolt, GA· NPI 1497093546 · Enumerated 2013 · 13 years on NPI
Moore is 1 of 1 specialist providers in Thunderbolt and 1 of 1881 in Georgia.
NPI age
13 years
Enumerated 2013-01-24
Primary specialty
Specialist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2013-01-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-01Enumerated in NPPES
2013 2026

Where they practice

Practice location
2612 Dogwood Ave, Pt D19
Thunderbolt, GA 314043239
📞 9122206689
Mailing address
2612 Dogwood Ave, Pt D19
Thunderbolt, GA 314043239
📞 9122206689

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X

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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