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

Kristen Kosola Moore

Individual provider Physical Therapist · NPI 1346380698

Kristen Kosola Moore is a Physical Therapist in Private Practice in Lagrange, Georgia. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Hughston Clinic PC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

208 Smith St
Lagrange, GA 30240-2755
Phone: (706) 845-7002
Fax: (706) 845-0488
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006298 (GA)

Record details

NPI number1346380698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Hughston Clinic Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lagrange