Kimiko Jean Moore, MD - Medicare Family Medicine in Newnan, GA

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Kimiko Jean Moore, MD is a medicare enrolled "Family Medicine" physician in Newnan, Georgia. Her current practice location is 2401 Newnan Crossing Blvd E Ste 200, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 400-7700.

Kimiko Jean Moore is licensed to practice in Georgia (license number 98646) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750843637.

Contact Information

Kimiko Jean Moore, MD
2401 Newnan Crossing Blvd E Ste 200,
Newnan, GA 30265-2409
(770) 400-7700
Not Available

Map and Direction




Physician's Profile

Full NameKimiko Jean Moore
GenderFemale
SpecialityFamily Medicine
Location2401 Newnan Crossing Blvd E Ste 200, Newnan, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750843637
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 02/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436533734
  • Enrollment ID: I20220906002865

Medical Identifiers

Medical identifiers for Kimiko Jean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750843637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 65954 (Tennessee)Secondary
207Q00000XFamily Medicine 98646 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimiko Jean Moore allows following entities to bill medicare on her behalf.
Entity NameAfc Physicians Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114234523
PECOS PAC ID: 5395924823
Enrollment ID: O20110128000880
Entity NameMoore Life Healthcare, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760877419
PECOS PAC ID: 7113228461
Enrollment ID: O20151210002559
Entity NameKdpctn
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679262737
PECOS PAC ID: 3577919083
Enrollment ID: O20231019001454

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimiko Jean Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Newnan, GA

Joycelyn Renee Holland, M.D.
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Practice Location: 10 Market Sq, Suite 100, Newnan, GA 30265
Phone: 770-252-3783    Fax: 770-252-4918
Idrissatu Bah, NP
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Practice Location: 3116 Highway 34 E, Newnan, GA 30265
Phone: 404-948-3019    
Marie Judith Cauvin, M.D.
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Practice Location: 38 Hospital Rd Ste A, Newnan, GA 30263
Phone: 770-251-4700    
John Schuler, MD
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Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265
Phone: 855-848-5760    Fax: 770-400-6925
Alison A. Lauber, MD
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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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.