Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Summer Matyok Moore, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609507391

Summer Matyok Moore, FNP-C is a Nurse Practitioner in Vidalia, Georgia. Qualified in 2022, 4 years ago. Practices with Montgomery Emergency Group, LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
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

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 535-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN209346 (GA)

Record details

NPI number1609507391
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Montgomery Emergency Group, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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