Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518904242 Individual Practitioner Male Practitioner

Dr. Jorge Luis Moreno , MD

General Practice • Jackson, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Moreno, MD is a registered healthcare professional specializing in General Practice in Jackson, GA. Practice services are available at 375 MCDONOUGH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

375 Mcdonough Rd

Jackson, GA 302331509

Telephone 7707754622
Fax 7707754132
Associated Practice Facility / Clinic
🏢 Maldonado & Moreno, Pc Facility NPI 1699815340

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jackson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Jackson, GA (369 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

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 022255

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00211549A (GA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jorge Moreno , MD

Family Medicine

NPI 1518914597

Doctor of Medicine (M.D.)

Seema Moreno , OTR, L

Occupational Therapist

NPI 1649223587

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2014

Registered at 375 MCDONOUGH RD, JACKSON, GA 302331509 (Tel: 7707754622)

📍
Updated Business Mailing Address July 01, 2014

Registered at 375 MCDONOUGH RD, JACKSON, GA 302331509 (Tel: 7707754622)

👤
Provider Name / Credentials Updated July 01, 2014

Recorded as JORGE MORENO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

General Practice (License #022255 in GA)

🟢
Initial NPI Registration & Enumeration June 01, 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: 1518904242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: July 01, 2014
Sole Proprietor: No

Mailing Address

375 Mcdonough Rd

Jackson, GA 302331509

Phone: 7707754622

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.