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

Kimiko Jean Moore, MD

Individual provider Family Medicine Physician · NPI 1750843637

Kimiko Jean Moore, MD is an Internal Medicine in Newnan, Georgia. Graduated from Meharry Medical College School of Medicine in 2019, 7 years ago. Practices with Piedmont Medical Care Corporation, a 368-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
7
Trained at
Meharry Medical College School of Medicine
Licensed in
GA, TN
In the registry since
2019
Specialties on file
2
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

2401 Newnan Crossing Blvd E Ste 200
Newnan, GA 30265-2409
Phone: (770) 400-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 253 W Main St, Gallatin, TN 37066-3290 — (615) 461-8784
  • 3901 Central Pike Ste 500, Hermitage, TN 37076-3431 — (502) 792-0236
  • 1308 Havenbrook Dr, Nashville, TN 37207-2651 — (615) 497-3978

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 98646 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 65954 (TN)

Record details

NPI number1750843637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address9200 Shelbyville Rd Ste 531, Louisville, KY 40222-5132

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Piedmont Medical Care Corporation — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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