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

Marissa Moore, MD

Individual provider Family Medicine Physician · NPI 1295297638

Marissa Moore, MD is a Family Practice in Mandeville, Louisiana. Qualified in 2019, 7 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
7
Licensed in
LA, MI
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.

See every abbreviation used in this directory →

Practice location Address checks out

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472
Phone: (985) 898-4001
Show map & directions

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

Additional practice locations (1)

  • 110 E 2nd St Fl 3, Royal Oak, MI 48067-2694 — (248) 546-2110

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301514377 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 333248 (LA)

Record details

NPI number1295297638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mandeville