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

Jodi-Ann Camille Moore, PA

Individual provider Dermatology Physician · NPI 1962658963

Jodi-Ann Camille Moore, PA is a Physician Assistant in Cartersville, Georgia. Qualified in 2008, 18 years ago. Practices with Douglas Dermatology and Skin Cancer Specialists LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9 Medical Dr NE Ste E
Cartersville, GA 30121-8003
Phone: (470) 227-1600
Fax: (470) 227-1606
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Dermatology Physician Taxonomy 207N00000X · Licence 005365 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 005365 (GA)

Record details

NPI number1962658963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2008
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Douglas Dermatology And Skin Cancer Specialists Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare