Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Moore, AGNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1972225498

Cynthia Moore, AGNP-BC is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2020, 6 years ago. Practices with Chronic Disease Management of Georgia LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

210 Collins Industrial Way
Lawrenceville, GA 30043-5450
Phone: (678) 442-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 063436 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 063436 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 063436 (GA)

Record details

NPI number1972225498
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Chronic Disease Management Of Georgia Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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