| Rodney Moore, MD | |
|
2855 Old Highway 5, Blue Ridge, GA 30513-6248 | |
| (800) 291-4020 | |
| (919) 419-7247 |
| Full Name | Rodney Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 2855 Old Highway 5, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669420261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 028827 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chatuge Regional Hospital | Hiawassee, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 37 |
| Southland Chatuge Emergency Medical Services, Llc | 5294003844 | 6 |
| Entity Name | Chatuge Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326028978 PECOS PAC ID: 0840196523 Enrollment ID: O20031211001052 |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Chatuge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
| Entity Name | Southland Union Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney Moore, MD 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (800) 291-4020 | Rodney Moore, MD 2855 Old Highway 5, Blue Ridge, GA 30513-6248 Ph: (800) 291-4020 |
David Neilsen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 | |
Dr. Terence W Kolb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, North, Blue Ridge, GA 30513 Phone: 706-632-3711 | |
Paul Christopher Conrad, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 | |
Herbert Eugene Flynn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 |