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JONATHAN MOORE
NPI 1407122401
Case Manager/Care Coordinator in Lithonia, GA

Active since March 24, 2012
8075 MALL PKWY, STE. 101-334, LITHONIA, GA 30038(678) 508-1935(770) 323-1935 Get Directions Write a Review

NPPES record last updated: March 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Moore NPPES

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

JONATHAN MOORE (NPI 1407122401) is an individual case manager/care coordinator provider in Lithonia, Georgia and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1407122401
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJONATHAN MOORE
Location Address8075 MALL PKWY, STE. 101-334Lithonia, GA 30038-6993
Mailing Address2542 Young RdStone Mountain, GA 30088-4204 · (678) 508-1935 · Fax (770) 323-1935
Phone(678) 508-1935
Fax(770) 323-1935
Sole ProprietorYes
Enumeration DateMarch 24, 2012
✔ NPI 1407122401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
8075 MALL PKWY, Lithonia, GA 30038
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Other Identifiers 1

Medicaid743527131AGA

Other Providers at the Same Location NPPES 14

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

ALL SOURCE PROFESSIONALS, LLC
Day Training, Developmentally Disabled Services
8075 MALL PKWY, STE 101-348
LITHONIA, GA 30038
Dekalb County (678) 526-1939
FAMILY SERVICES UNLIMITED, INC
Case Management
8075 MALL PKWY, SUITE 101-334
LITHONIA, GA 30038
Dekalb County (404) 944-6166
FAMILY SERVICES UNLIMITED, INC
Case Management
8075 MALL PKWY, SUITE 101-334
LITHONIA, GA 30038
Dekalb County (404) 944-6166
ROBYN SHIELDS
Case Manager/Care Coordinator
8075 MALL PKWY, STE. 101-334
LITHONIA, GA 30038
Dekalb County (678) 508-1935
VERONICA A WATKINS
Case Manager/Care Coordinator
8075 MALL PKWY, STE 101-334
LITHONIA, GA 30038
Dekalb County (678) 508-1935
MR. PHILLIP T TODD M.ED
Social Worker
8075 MALL PKWY, SUITE 101-334
LITHONIA, GA 30038
Dekalb County (404) 944-6166
KAREN ALLEYNE-PIERRE MA-PSYCHOLOGY
Case Manager/Care Coordinator
8075 MALL PKWY, STE. 101-334
LITHONIA, GA 30038
Dekalb County (678) 508-1935
BRIAN K. BOWERS
Case Manager/Care Coordinator
8075 MALL PKWY, STE. 101-334
LITHONIA, GA 30038
Dekalb County (678) 508-1935

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1407122401. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Jonathan Moore located?

Jonathan Moore practices at 8075 Mall Pkwy Ste. 101-334, Lithonia, GA 30038. The listed phone number is (678) 508-1935.

What is Jonathan Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on March 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.