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

Mary Elizabeth Moore, CPNP-AC/PC

Individual provider Pediatric Nurse Practitioner · NPI 1184230864

Mary Elizabeth Moore, CPNP-AC/PC is a Pediatric Nurse Practitioner in Atlanta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605
Phone: (404) 785-5437
Show map & directions

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

Additional practice locations (1)

  • 3745 Cherokee St Nw, Kennesaw, GA 30144-6733 — (770) 429-1005

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN250218 (GA)

Record details

NPI number1184230864
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC/PC
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

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