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

Matthew Douglas Moore, BSN, RN

Individual provider Administrator Registered Nurse · NPI 1043045537

Matthew Douglas Moore, BSN, RN is an Administrator Registered Nurse in Dallas, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

88 Sparkleberry Ln E
Dallas, GA 30132-7578
Phone: (770) 605-7982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence RN266385 (GA)

Record details

NPI number1043045537
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , RN
Sole proprietorYes
NPI enumeratedSeptember 4, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address88 Sparkleberry Ln E, Dallas, GA 30132-7578

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