Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LASHANDA DENISE MOORE NP
NPI 1205306891
Nurse Practitioner - Family in Stone Mountain, GA

Q: What is Lashanda Moore's NPI number?

The NPI number for Lashanda Moore is 1205306891. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Q: What is Lashanda Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lashanda Moore was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 27, 2018PECOS EnrolledAccepts Medicare Assignment

5582 MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 298-8998 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2021, May 2, 2019, Nov 27, 2018 (3 updates tracked since 2018).

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About Lashanda Denise Moore Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASHANDA DENISE MOORE NP (NPI 1205306891) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN249446) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205306891

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLASHANDA DENISE MOORECredential: NP

Location Address5582 MEMORIAL DRStone Mountain, GA 30083-3215

Mailing Address5582 Memorial DrStone Mountain, GA 30083-3215 · (404) 298-8998

Phone(404) 298-8998

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 27, 2018

Last NPPES UpdateJune 14, 20263 updates tracked since enumeration

NPPES CertifiedJune 14, 2026

✔ NPI 1205306891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN249446

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN249446 (GA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN-NP249446 (GA)

5582 MEMORIAL DR, Stone Mountain, GA 30083

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Other Identifiers 1

Medicaid1205306891GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lashanda Denise Moore Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325479140

PECOS Enrollment IDI20200512001111

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE NOELLE KNISELY FNP-BC

Nurse Practitioner (Family)