NPI age
7 years
Enumerated 2019-04-01
● Active
Type 1 · Individual
Kimiko Jean Moore, MD
Moore is 1 of 41 family medicine providers in Newnan and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-02-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
7 years
↓ 10 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Practice location
2401 Newnan Crossing Blvd E Ste 200
Newnan, GA 302652409
Mailing address
9200 Shelbyville Rd Ste 531
Louisville, KY 402225132
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
253 W Main St
Gallatin, TN 370663290
Location 3
1308 Havenbrook Dr
Nashville, TN 372072651
Location 4
3901 Central Pike Ste 500
Hermitage, TN 370763431
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.