Leslie Moore, NP - Medicare Nurse Practitioner in Fayetteville, GA

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Leslie Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fayetteville, Georgia. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 367-3014.

Leslie Moore is licensed to practice in Georgia (license number RN227918) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871961821.

Contact Information

Leslie Moore, NP
1255 Highway 54 W,
Fayetteville, GA 30214-4526
(404) 367-3014
(404) 367-3558

Map and Direction




Provider's Profile

Full NameLeslie Moore
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie Moore graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1871961821
  • Provider Enumeration Date: 09/08/2015
  • Last Update Date: 09/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7113228636
  • Enrollment ID: I20151229000045

Medical Identifiers

Medical identifiers for Leslie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871961821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN227918 (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. Leslie Moore allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NamePiedmont Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376624940
PECOS PAC ID: 3274529524
Enrollment ID: O20040423000767
Entity NameDynamic Med LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700760196
PECOS PAC ID: 2062919061
Enrollment ID: O20251007002393

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. Leslie 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
Leslie Moore, NP
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (404) 367-3014		Leslie Moore, NP
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (404) 367-3014

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 735 Glynn Street South, Fayetteville, GA 30214
Phone: 770-461-4126    
Brittney Shay Pasko, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-719-0051    Fax: 770-716-0087
Angela Miller, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6799    Fax: 770-719-6059
Eleasa Milano, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214
Phone: 808-446-4609    
Erin Dee Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214
Phone: 770-461-1238    
Krystal Gail Dennis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-716-0051    
Omolola Otubaga, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214
Phone: 770-703-4448    Fax: 770-703-4038

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.