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

Hernando Moreno, MD

Individual provider Internal Medicine Physician · NPI 1396950994

Hernando Moreno, MD is an Internal Medicine in Valdosta, Georgia. Qualified in 2000, 26 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2007
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

3207 Country Club Dr
Valdosta, GA 31605-1029
Phone: (229) 242-8480
Fax: (229) 241-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 059473 (GA)

Record details

NPI number1396950994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESOctober 16, 2008
Mailing address3207 Country Club Dr, Valdosta, GA 31605-1029

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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