Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497093546 Individual Practitioner Female Practitioner

Vanessa Josephine Moore

Specialist • Thunderbolt, GA

Professional Overview & Biography Verified Profile Summary

Vanessa Moore is a registered healthcare professional specializing in Specialist in Thunderbolt, GA. Practice services are available at 2612 DOGWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2612 Dogwood Ave
Pt D19

Thunderbolt, GA 314043239

Telephone 9122206689

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Thunderbolt, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Thunderbolt, GA (979 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2013

Registered at 2612 DOGWOOD AVE, PT D19, THUNDERBOLT, GA 314043239 (Tel: 9122206689)

📍
Updated Business Mailing Address January 24, 2013

Registered at 2612 DOGWOOD AVE, PT D19, THUNDERBOLT, GA 314043239 (Tel: 9122206689)

👤
Provider Name / Credentials Updated January 24, 2013

Recorded as VANESSA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

Specialist

🟢
Initial NPI Registration & Enumeration January 24, 2013

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: 1497093546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2013
Last Update: January 24, 2013
Sole Proprietor: Yes

Mailing Address

2612 Dogwood Ave, Pt D19

Thunderbolt, GA 314043239

Phone: 9122206689

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.