Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316056302 Individual Practitioner Female Practitioner

Dr. Donna B. Moore , MD

Pediatrics • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donna Moore, MD is a certified Pediatrics practicing in Augusta, GA. With approximately 33 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1993, Dr. Moore delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Moore is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 7067212191
Fax 7067214920
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Augusta, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +18.3 yrs vs City Avg
City Avg: 14.7 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
179 Specialists

Practicing in Augusta, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (33 Years) 33 Yrs
Augusta Specialty Average (14.7 Years) 14.7 Yrs

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 041622

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
G41622 (SC)
Medicaid State Provider ID
000709695A (GA)

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1023182557

Doctor of Medicine (M.D.), FAAP

NPI 1043329055
NPI 1063522795

Doctor of Medicine (M.D.)

NPI 1083723035

Doctor of Medicine (M.D.)

Dr. William Cagle , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1083811657

Doctor of Medicine (M.D.)

Dr. Karen Draper , MD

Surgery - Surgical Oncology

NPI 1134153414

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 November 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2012

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067212191)

📍
Updated Business Mailing Address November 30, 2012

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7068286410)

👤
Provider Name / Credentials Updated November 30, 2012

Recorded as DONNA MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2012

Pediatrics (License #041622 in GA)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1316056302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: November 30, 2012
Sole Proprietor: No

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7068286410

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.