MRS. SHONDA MOORE RN
NPI 1477070084
Nurse Practitioner - Family in Atlanta, GA
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
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Shonda Moore Rn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Shonda Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30326
- Reassigned Medicare billing, Georgia enrollment
- 100 clinicians in this Medicare group
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Ohio enrollment
- 672 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ATLANTA, GA 30322
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shonda Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shonda Moore reassigns Medicare benefits to 4 organizations: Vpa PC (Atlanta, GA), Park Springs, LLC (Stone Mountain, GA), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shonda Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shonda Moore accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Shonda Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 2 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.
# Mrs. Shonda Moore, RN · NPI 1477070084
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2017.
## Identity
- **NPI:** 1477070084 (Entity type: Individual)
- **Enumerated:** August 24, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN282676 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1525 CLIFTON RD NE, Atlanta, GA 30322
- **Phone:** (404) 727-7551 · **Fax:** (404) 727-5349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1750066932, Atlanta, GA); Park Springs, LLC (NPI 1962628669, Stone Mountain, GA); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477070084) · Data from the CMS NPPES public registry.