Shawn William Moore, FNP-C in Dawsonville, GA

Shawn William Moore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dawsonville, Georgia. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Longstreet Clinic, Pc and his current practice location is 400 Dawson Commons Cir Ste 410, Dawsonville, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 773-6725.

Shawn William Moore is licensed to practice in Georgia (license number NP191172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619222528.

Contact Information

	Shawn William Moore, FNP-C
	400 Dawson Commons Cir Ste 410, Dawsonville, GA 30534-6269
	(470) 773-6725
	(470) 773-6726

Map and Direction

Provider's Profile

Full Name	Shawn William Moore
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	400 Dawson Commons Cir Ste 410, Dawsonville, 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.

Medical Education and Training:

Shawn William Moore graduated from nursing school in 2012

NPI Data:

NPI Number: 1619222528
Provider Enumeration Date: 07/17/2012
Last Update Date: 11/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5698921443
Enrollment ID: I20120809000483

Medical Identifiers

Medical identifiers for Shawn William Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619222528	NPI	-	NPPES
003125809I	Medicaid	GA
003125809	Medicaid	GA
003125809B	Medicaid	GA
003125809Q	Medicaid	GA
01667286	Other	GA	AMERIGROUP
003125809F	Medicaid	GA
003125809G	Medicaid	GA
003125809K	Medicaid	GA
003125809L	Medicaid	GA
003125809J	Medicaid	GA
003125809A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN191172 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	NP191172 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	144

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. Shawn William Moore allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Shawn William 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 Address	Practice Location Address
Shawn William Moore, FNP-C 400 Dawson Commons Cir Ste 410, Dawsonville, GA 30534-6269 Ph: (470) 773-6725	Shawn William Moore, FNP-C 400 Dawson Commons Cir Ste 410, Dawsonville, GA 30534-6269 Ph: (470) 773-6725

Reviews and Comments

Nurse Practitioner Nurses in Dawsonville, GA

Tara Misko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Dawson Commons Cir, Dawsonville, GA 30534 Phone: 706-216-2771
Mrs. Mariana Cota, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Dawson Village Way S, Dawsonville, GA 30534 Phone: 770-268-4360 Fax: 470-251-6066
Traci Slaughter, FNP/C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 378 Perimeter Rd, Dawsonville, GA 30534 Phone: 678-389-6509
Mrs. Christine Ann Milo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534 Phone: 706-216-6000
Brady Owen Wheeler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Overlook Cir, Dawsonville, GA 30534 Phone: 940-231-3714
Dawn Sosebee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct Ste 200, Dawsonville, GA 30534 Phone: 706-216-3238 Fax: 706-216-5285
Ellison Croft, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6002 Highway 53 E, Dawsonville, GA 30534 Phone: 706-265-8002 Fax: 706-429-0033

Shawn William Moore, FNP-C - Medicare Nurse Practitioner in Dawsonville, GA