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

Raven Tpring Moore, AGNP-C

Individual provider School Registered Nurse · NPI 1568041168

Raven Tpring Moore, AGNP-C is a Nurse Practitioner in Covington, Georgia. Graduated from University Alabama Birmingham - School of Optometry in 2022, 4 years ago. Practices with Reagan Medical Center LLC, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
GA
In the registry since
2021
Specialties on file
5

Practice location Address checks out

6175 Newton Dr NE
Covington, GA 30014-2690
Phone: (678) 342-6000
Show map & directions

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

Additional practice locations (1)

  • 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 — (678) 344-8700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN277339 (GA)
School Registered Nurse Taxonomy 163WS0200X · Licence RN277339 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN277339 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN277339 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN277339 (GA)

Record details

NPI number1568041168
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Reagan Medical Center Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare