MR. JEROME MOORE
NPI 1841605797
Emergency Medical Technician, Basic in Snellville, GA

Active since June 29, 2014
3044 ASHLY FOREST DR, SNELLVILLE, GA 30078(770) 896-1413 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerome Moore NPPES

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

MR. JEROME MOORE (NPI 1841605797) is an individual emergency medical technician, basic provider in Snellville, Georgia, licensed in Georgia (E029658) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1841605797
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMR. JEROME MOORE
Location Address3044 ASHLY FOREST DRSnellville, GA 30078-4524
Mailing Address55 Paula DrPorterdale, GA 30014-5013 · (770) 896-1413
Sole ProprietorYes
Enumeration DateJune 29, 2014
Last NPPES UpdateFebruary 20, 2020
NPI 1841605797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License Licensed in GA · E029658
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedNurse's AideTaxonomy 376K00000X · License CN0030028021 (GA)
3044 ASHLY FOREST DR, Snellville, GA 30078

Other Providers at the Same Location NPPES

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

Home Health Aide
3044 ASHLY FOREST DR
SNELLVILLE, GA 30078

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 Jerome Moore's NPI number?

The NPI number for Jerome Moore is 1841605797. It was assigned to this individual provider in the NPPES registry on June 29, 2014.

Where is Jerome Moore located?

Jerome Moore practices at 3044 Ashly Forest Dr, Snellville, GA 30078. The listed phone number is (770) 896-1413.

What is Jerome Moore's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jerome Moore was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.