| Kimiko Jean Moore, MD | |
|
2401 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2409 | |
| (770) 400-7700 | |
| Not Available |
| Full Name | Kimiko Jean Moore |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 2401 Newnan Crossing Blvd E Ste 200, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750843637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 65954 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 98646 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital | Atlanta, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 327 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimiko Jean Moore, MD 9200 Shelbyville Rd Ste 531, Louisville, KY 40222-5132 Ph: (502) 792-0236 | Kimiko Jean Moore, MD 2401 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2409 Ph: (770) 400-7700 |
Joycelyn Renee Holland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Market Sq, Suite 100, Newnan, GA 30265 Phone: 770-252-3783 Fax: 770-252-4918 | |
Idrissatu Bah, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3116 Highway 34 E, Newnan, GA 30265 Phone: 404-948-3019 | |
Marie Judith Cauvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Rd Ste A, Newnan, GA 30263 Phone: 770-251-4700 | |
John Schuler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 855-848-5760 Fax: 770-400-6925 | |
Alison A. Lauber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 770 Grieson Trail, Ste H, Newnan, GA 30263 Phone: 770-252-5420 Fax: 770-252-5417 | |
Kevin R. Greenwell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 51 Hospital Rd, Newnan, GA 30263 Phone: 770-251-5540 | |
Perry S Damian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Oak Hill Blvd Ste 200, Newnan, GA 30265 Phone: 770-304-0987 |