SHAWN ANTHONY MOORE
NPI 1750800058
Emergency Medical Technician, Intermediate in Stone Mountain, GA

Q: What is Shawn Moore's NPI number?

The NPI number for Shawn Moore is 1750800058. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Q: What is Shawn Moore's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Moore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 18, 2017

900 N HAIRSTON RD STE A3, STONE MOUNTAIN, GA 30083(678) 902-4947 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Sep 18, 2017 (2 updates tracked since 2017).

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About Shawn Anthony Moore NPPES

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

SHAWN ANTHONY MOORE (NPI 1750800058) is an individual emergency medical technician, intermediate provider in Stone Mountain, Georgia, licensed in Georgia (00243250) and active in the NPI registry since September 2017. He maintains a secondary practice location in Stone Mountain.

NPPES Registry Identity

NPI1750800058

Entity TypeIndividualMale

Primary Taxonomy146M00000X

Provider Legal NameSHAWN ANTHONY MOORE

Location Address900 N HAIRSTON RD STE A3Stone Mountain, GA 30083-2857

Mailing Address1921 Brook View AveDoraville, GA 30340-3850

Phone(678) 902-4947

Sole ProprietorNo

Enumeration DateSeptember 18, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1750800058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers

Taxonomy Code146M00000X

License✔ Licensed in GA · 00243250

Definition

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

900 N HAIRSTON RD STE A3, Stone Mountain, GA 30083

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Secondary Practice Location 1

Location 1900 N Hairston Rd Ste AStone Mountain, GA 30083-2857 · Phone (678) 902-4947

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 Shawn Moore's NPI number?

The NPI number for Shawn Moore is 1750800058. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Shawn Moore located?

Shawn Moore practices at 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083. The listed phone number is (678) 902-4947.

What is Shawn Moore's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Shawn Moore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.