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Active NPI 1689490138 Individual Practitioner Male Practitioner

Marquincio Moore , LPN

Licensed Practical Nurse • Macon, GA

Professional Overview & Biography Verified Profile Summary

Marquincio Moore, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Macon, GA. Practice services are available at 624 FOREST HILL RD APT A1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

624 Forest Hill Rd Apt A1

Macon, GA 312104608

Telephone 4782286269

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Macon, GA (1401 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

CMS Verified: 2024-12-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN104478

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2024

Registered at 624 FOREST HILL RD APT A1, MACON, GA 312104608 (Tel: 4782286269)

📍
Updated Business Mailing Address December 02, 2024

Registered at 624 FOREST HILL RD APT A1, MACON, GA 312104608 (Tel: 4782286269)

👤
Provider Name / Credentials Updated December 02, 2024

Recorded as MARQUINCIO MOORE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Licensed Practical Nurse (License #LPN104478 in GA)

🟢
Initial NPI Registration & Enumeration December 02, 2024

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: 1689490138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2024
Last Update: December 02, 2024
Sole Proprietor: No

Mailing Address

624 Forest Hill Rd Apt A1

Macon, GA 312104608

Phone: 4782286269

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.