P Praxis·MD
● Active Type 1 · Individual

Bridgett Moore, M.D.

Specialist·Valdosta, GA· NPI 1679764757 · Enumerated 2007 · 18 years on NPI
Moore is 1 of 26 specialist providers in Valdosta and 1 of 1881 in Georgia.
NPI age
18 years
Enumerated 2007-08-05
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-03-26
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
18 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
2810 N Oak St
Valdosta, GA 316021716
📞 2292590019fax 2292590209
Mailing address
2810 N Oak St
Valdosta, GA 316021716
📞 2292590019fax 2292590209

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.
    GA license #39418 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (GA) 598880 BCBS GA PROVIDER #
05 (GA) 00830277A
01 (GA) 110206439 MEDICARE RR PROVIDER #

Practice context

Part of a multi-provider practice. 3 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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