P Praxis·MD
● Active Type 1 · Individual

Shawn William Moore, FNP-C

Nurse Practitioner·Dawsonville, GA· NPI 1619222528 · Enumerated 2012 · 13 years on NPI
Moore is 1 of 36 nurse practitioner providers in Dawsonville and 1 of 8826 in Georgia.
NPI age
13 years
Enumerated 2012-07-17
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
400 Dawson Commons Cir Ste 410
Dawsonville, GA 305346269
📞 4707736725fax 4707736726
Mailing address
400 Dawson Commons Cir Ste 410
Dawsonville, GA 305346269
📞 4707736725fax 4707736726

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #NP191172 taxonomy 363LF0000X
  • Registered Nurse
    A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded...
    GA license #RN191172 taxonomy 163WR0006X

Identifiers

TypeValueNotes
05 (GA) 003125809I
05 (GA) 003125809
05 (GA) 003125809B
05 (GA) 003125809Q
01 (GA) 01667286 AMERIGROUP
05 (GA) 003125809F
05 (GA) 003125809G
05 (GA) 003125809K
05 (GA) 003125809L
05 (GA) 003125809J
05 (GA) 003125809A

Practice context

Part of a multi-provider practice. 6 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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