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

Keith S Moore, MD

Individual provider Surgery Physician · NPI 1154302784

Keith S Moore, MD is a General Surgery in Atlanta, Georgia. Graduated from University of Missouri, Kansas City, School of Medicine in 1991, 35 years ago. Practices with Center for Vein Restoration Ga Corp, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
TX
In the registry since
2005
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

1100 Johnson Fy Rd NE Ste 165
Atlanta, GA 30342-1709
Phone: (404) 446-2800
Fax: (404) 446-2809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M8850 (TX)

Record details

NPI number1154302784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESNovember 30, 2016
Mailing address1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA 30342-1709

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Center For Vein Restoration Ga Corp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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