P Praxis·MD
● Active Type 1 · Individual

Raven Tpring Moore, AGNP-C

Nurse Practitioner·Covington, GA· NPI 1568041168 · Enumerated 2021 · 5 years on NPI
Moore is 1 of 21 nurse practitioner providers in Covington and 1 of 3206 in Georgia.
NPI age
5 years
Enumerated 2021-04-02
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
4
In the 30% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
6175 Newton Dr Ne
Covington, GA 300142690
📞 6783426000
Mailing address
2878 Five Forks Trickum Rd
Lawrenceville, GA 300445896
📞 6783448700

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2878 Five Forks Trickum Rd
Lawrenceville, GA 300445896
📞 6783448700

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN277339 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN277339 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    GA license #RN277339 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    GA license #RN277339 taxonomy 363LP2300X
  • Registered Nurse
    Definition to come...
    GA license #RN277339 taxonomy 163WS0200X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Covington 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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