Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356388433 Individual Practitioner Male Practitioner

Bryan Russell Moore , PAA

Physician Assistant • Marietta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bryan Moore, PAA is a certified Physician Assistant practicing in Marietta, GA. With approximately 24 years of clinical experience since graduating from Emory University School Of Medicine in 2002, Bryan Moore delivers high-quality medical care to the local community at 2540 WINDY HILL RD SE.

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

Frequently performed procedures and clinical services include anesthesia for x-ray on artery of brain, heart, or chest, insertion of artery tube for blood sampling or infusion through skin, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2540 Windy Hill Rd Se

Marietta, GA 300678605

Telephone 4706441274
Fax 4706441119
Associated Practice Facility / Clinic
🏢 Kennestone Hospital, Inc. Facility NPI 1700853041

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marietta, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +13.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
210 Specialists

Practicing in Marietta, GA (4726 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (24 Years) 24 Yrs
Marietta Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01926 Anesthesia for x-ray on artery of brain, heart, or chest
18 18 $2156.23 $152.37

Medical Specialties & State Licenses

CMS Verified: 2023-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 003912

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100002267C (GA)
Medicaid State Provider ID
100002267B (GA)
Commercial Insurance / Payer ID Railroad Medicare
P00221726 (GA)

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Wellstar Medical Group Llc

677 Church Nest, Marietta, GA 300601101

Wellstar Medical Group Llc

625 Church Nest, Marietta, GA 300601101

Phone: 7704222004

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

677 Church St Ne, Marietta, GA 300601101

Phone: 4707938585

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Secondary Practice Locations

501 Redmond Rd Nw, Anesthesiology Department

Rome, GA 301651415

Phone: 7062910291

Practice Associates & Co-Workers

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

31 Associated Practitioners
NPI 1023376399

Doctor of Medicine (M.D.)

Mario Torres-Nieves

Nurse Anesthetist, Certified Registered

NPI 1033831508
Morgan Larango , PA-AA

Anesthesiologist Assistant

NPI 1083123152

PAAA

Zoe Nevels , PAA

Anesthesiologist Assistant

NPI 1144830928
NPI 1154391613

Doctor of Osteopathic Medicine (D.O.)

Dr. Ann Harman , MD

Anesthesiology

NPI 1194728980

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 10, 2023

Registered at 2540 WINDY HILL RD SE, MARIETTA, GA 300678605 (Tel: 4706441274)

📍
Updated Business Mailing Address October 10, 2023

Registered at 2540 WINDY HILL RD SE, MARIETTA, GA 300678605 (Tel: 4706441274)

👤
Provider Name / Credentials Updated October 10, 2023

Recorded as BRYAN MOORE, PAA

NPI Profile Active November 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2009

Registered at 501 REDMOND RD NW, ANESTHESIOLOGY DEPARTMENT, ROME, GA 301651415 (Tel: 7062910291)

📍
Updated Business Mailing Address November 24, 2009

Registered at 17 WEXFORD CIR NW, CARTERSVILLE, GA 301214761 (Tel: 7703823959)

👤
Provider Name / Credentials Updated November 24, 2009

Recorded as BRYAN MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2009

Physician Assistant (License #003912 in GA)

🟢
Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Bryan Moore. Be the first to share your experience!

Sign in to leave a review for Bryan Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356388433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2006
Last Update: October 10, 2023
Sole Proprietor: Yes

Mailing Address

2540 Windy Hill Rd Se

Marietta, GA 300678605

Phone: 4706441274

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.