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

Jacqueline Diana Moore, MD

Individual provider Surgery Physician · NPI 1619173838

Jacqueline Diana Moore, MD is a General Surgery in Aldie, Virginia. Qualified in 2007, 19 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

24560 Southpoint Dr Ste 300
Aldie, VA 20105-3504
Phone: (703) 258-0399
Fax: (703) 327-2039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 — (703) 258-0398

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101270338 (VA)

Record details

NPI number1619173838
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare