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

Katlyn Nicole Moore

Individual provider Acute Care Nurse Practitioner · NPI 1083591176

Katlyn Nicole Moore is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2025, 1 year ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (229) 433-1000
Show map & directions

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

Additional practice locations (1)

  • 2409 N Patterson St Ste 340c, Valdosta, GA 31602-2512 — (229) 433-6400

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-NP281867 (GA)

Record details

NPI number1083591176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address2501 N Patterson St, Valdosta, GA 31602-1735

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valdosta