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Keith S Moore, M.D.

Surgery Physician in Atlanta, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154302784

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Registry record

Entity type Individual (Type 1)
Name Keith S Moore
Credential M.D.
Sex Male
Practice address 1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA, 30342
Fax (404) 446-2809
Enumeration date Nov 10, 2005
Last updated in NPPES Nov 30, 2016

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License M8850 (TX) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
195354901 Medicaid TX -
8G6219 Other TX BC/BS TX#
P00614620 Other TX RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Keith Moore's NPI record?
Cross-check NPI 1154302784 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1154302784 active?
Yes, as of the latest NPPES snapshot, NPI 1154302784 is active (record last updated 2016-11-30).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-30.