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

Mr. Timothy Eugene Moore, PT

Individual provider Physical Therapist · NPI 1184721177

Mr. Timothy Eugene Moore, PT is a Physical Therapist in Private Practice in Lagrange, Georgia. Qualified in 1997, 29 years ago. Practices with Hughston Clinic PC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

107 Calumet Center Rd
Lagrange, GA 30241-6705
Phone: (706) 884-3274
Fax: (706) 882-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005660 (GA)

Record details

NPI number1184721177
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing addressPo Box 370, Fortson, GA 31808-0370

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Hughston Clinic Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Lagrange