Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316035413 Individual Practitioner Female Practitioner

Dr. Susan S Moore , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Susan Moore, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 6271 SAINT AUGUSTINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6271 Saint Augustine Rd

Jacksonville, FL 322172523

Telephone 9046330460
Fax 9046330461
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME92420

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
275686200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1073453551

Doctor of Philosophy (Ph.D.)

NPI 1154380285

Doctor of Medicine (M.D.)

NPI 1578515359

Doctor of Medicine (M.D.)

Mary Carrigan , ARNP

Nurse Practitioner - Family

NPI 1588892178

Advanced Registered Nurse Practitioner

NPI 1598727075

Doctor of Medicine (M.D.)

NPI 1801848056

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2011

Registered at 6271 SAINT AUGUSTINE RD, JACKSONVILLE, FL 322172523 (Tel: 9046330460)

📍
Updated Business Mailing Address December 27, 2011

Registered at 5396 HIDDEN GARDENS DR, JACKSONVILLE, FL 322584201 (Tel: 9045534644)

👤
Provider Name / Credentials Updated December 27, 2011

Recorded as SUSAN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2011

Pediatrics (License #ME92420 in FL)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316035413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: December 27, 2011
Sole Proprietor: No

Mailing Address

5396 Hidden Gardens Dr

Jacksonville, FL 322584201

Phone: 9045534644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.