Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Ronald Moore, MD

Individual provider Orthopaedic Surgery Physician · NPI 1871516930

Derek Ronald Moore, MD is an Orthopedic Surgery in Gainesville, Georgia. Graduated from University of South Carolina School of Medicine in 1999, 27 years ago. Practices with Northeast Georgia Community Physicians LLC, a 125-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
University of South Carolina School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

655 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3854
Phone: (770) 532-7092
Fax: (770) 536-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 054090 (GA)

Record details

NPI number1871516930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 15, 2011
Mailing addressPo Box 658, Gainesville, GA 30503-0658

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Northeast Georgia Community Physicians Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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