P Praxis·MD
● Active Type 1 · Individual

Derek Ronald Moore, MD

Orthopaedic Surgery·Gainesville, GA· NPI 1871516930 · Enumerated 2006 · 19 years on NPI
Moore is 1 of 26 orthopaedic surgery providers in Gainesville and 1 of 1151 in Georgia.
NPI age
19 years
Enumerated 2006-07-26
Primary specialty
Orthopaedic Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1151 active orthopaedic surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
655 Jesse Jewell Pkwy Se, Ste B
Gainesville, GA 305013854
📞 7705327092fax 7705360383
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Specialties

  • Orthopaedic Surgery Primary
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    GA license #054090 taxonomy 207X00000X

Identifiers

TypeValueNotes
01 (GA) 0901538 UHC
01 (GA) 10062471 AMERIGROUP
05 (GA) 203604041D
01 (GA) 7851732 AETNA
01 (GA) 52703247 BCBS
05 (GA) 203604041C
01 (GA) 4599810 CIGNA
01 (GA) P00349858 RR MEDICARE-GRP # CC4177
01 (GA) 342650 WELLCARE

Practice context

Part of a multi-provider practice. 33 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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