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MRS. SHONDA MOORE RN
NPI 1477070084
Nurse Practitioner - Family in Atlanta, GA

Active since August 24, 2017PECOS Enrolled
1525 CLIFTON RD NE, ATLANTA, GA 30322(404) 727-7551(404) 727-5349 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jun 18, 2019, Aug 24, 2017 (3 updates tracked since 2017).

About Mrs. Shonda Moore Rn NPPES

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

MRS. SHONDA MOORE RN (NPI 1477070084) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN282676) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477070084
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHONDA MOORECredential: RN
Location Address1525 CLIFTON RD NEAtlanta, GA 30322
Mailing Address1525 Clifton Rd NeAtlanta, GA 30322-4200 · (404) 727-7551 · Fax (404) 727-5349
Phone(404) 727-7551
Fax(404) 727-5349
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 24, 2017
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1477070084 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 · RN282676
Also ListedRegistered NurseTaxonomy 163W00000X · License RN282676 (GA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN.305694 (OH)
1525 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12825 Alms PlCincinnati, OH 45206-1396 · Phone (513) 363-5821
Location 21525 Clifton Rd NEAtlanta, GA 30322 · Phone (404) 727-7551 · Fax (404) 727-5349

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shonda Moore Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426584392
PECOS Enrollment IDI20260310003289
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

Other Providers at the Same Location NPPES 20

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

KAJAL PATEL M.D, M.P.H
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. SHABNAM SHAH M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
HOWA YEUNG M.D.
Dermatology
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
MS. EILEEN MACCALLUM ANP-BC
Nurse Practitioner (Adult Health)
1525 CLIFTON RD NE, SUITE 207
ATLANTA, GA 30322
Dekalb County (404) 778-4451
DR. JULIE JUNGAH KIM
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
ALISON K LEE MD
Dermatology (MOHS-Micrographic Surgery)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
SIDNEY MONTEZ BARR MD
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. WILLIAM THOMAS BRANCH JR. M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5472

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 Shonda Moore's NPI number?

The NPI number for Shonda Moore is 1477070084. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Shonda Moore located?

Shonda Moore practices at 1525 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-7551.

What is Shonda Moore's specialty?

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

Is Shonda Moore enrolled in Medicare?

Yes. Shonda Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shonda Moore was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.