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

Shawn William Moore, FNP-C

Individual provider Registered Nurse First Assistant · NPI 1619222528

Shawn William Moore, FNP-C is a Nurse Practitioner in Dawsonville, Georgia. Qualified in 2012, 14 years ago. Practices with Resurgens, LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

400 Dawson Commons Cir Ste 410
Dawsonville, GA 30534-6269
Phone: (470) 773-6725
Fax: (470) 773-6726
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP191172 (GA)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence RN191172 (GA)

Record details

NPI number1619222528
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Resurgens, Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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