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SHELATHUM MOORE
NPI 1215647573
Driver in Fairburn, GA

Active since November 28, 2022
670 BIRKDALE DR, FAIRBURN, GA 30213(678) 929-1123 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelathum Moore NPPES

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

SHELATHUM MOORE (NPI 1215647573) is an individual driver provider in Fairburn, Georgia, licensed in Georgia (050219016) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1215647573
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameSHELATHUM MOORE
Location Address670 BIRKDALE DRFairburn, GA 30213-2924
Mailing Address225 Market Place Connector # 1144Peachtree City, GA 30269-3542 · (678) 929-1123
Phone(678) 929-1123
Sole ProprietorNo
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1215647573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in GA · 050219016
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
670 BIRKDALE DR, Fairburn, GA 30213
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Other Names 1

Other Name (5)Shea Moore

Other Providers at the Same Location NPPES

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

DIVINE DESTINY ENTERPRISE LLC
Non-emergency Medical Transport (VAN)
670 BIRKDALE DR
FAIRBURN, GA 30213
Fulton County (678) 394-6573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelathum Moore's NPI number?

The NPI number for Shelathum Moore is 1215647573. It was assigned to this individual provider in the NPPES registry on November 28, 2022. The provider is also known as Shea Moore.

Where is Shelathum Moore located?

Shelathum Moore practices at 670 Birkdale Dr, Fairburn, GA 30213. The listed phone number is (678) 929-1123.

What is Shelathum Moore's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Shelathum Moore was last updated on November 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.