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Active NPI 1881903896 Individual Practitioner Female Practitioner

Susan Renee Moore , ATC, MS, LAT

Specialist • Wesson, MS

Professional Overview & Biography Verified Profile Summary

Susan Moore, ATC, MS, LAT is a registered healthcare professional specializing in Specialist in Wesson, MS. Practice services are available at 9030 MONTICELLO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9030 Monticello Rd

Wesson, MS 391919027

Telephone 6016682932

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wesson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Wesson, MS (253 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

State License MS AT0476

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 September 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2010

Registered at 9030 MONTICELLO RD, WESSON, MS 391919027 (Tel: 6016682932)

📍
Updated Business Mailing Address September 26, 2010

Registered at 9030 MONTICELLO RD, WESSON, MS 391919027 (Tel: 6016682932)

👤
Provider Name / Credentials Updated September 26, 2010

Recorded as SUSAN MOORE, ATC, MS, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2010

Specialist (License #AT0476 in MS)

🟢
Initial NPI Registration & Enumeration September 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881903896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2010
Last Update: September 26, 2010
Sole Proprietor: Yes

Mailing Address

9030 Monticello Rd

Wesson, MS 391919027

Phone: 6016682932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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