EBONIE MONIQUE MOORE
NPI 1861041865
Contractor in Scottdale, GA

Active since September 11, 2019
3538 LANTERN VIEW LN, SCOTTDALE, GA 30079(470) 269-4271 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ebonie Monique Moore NPPES

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

EBONIE MONIQUE MOORE (NPI 1861041865) is an individual contractor provider in Scottdale, Georgia and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1861041865
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameEBONIE MONIQUE MOORE
Location Address3538 LANTERN VIEW LNScottdale, GA 30079-6806
Mailing Address3538 Lantern View LnScottdale, GA 30079-6806 · (470) 269-4271
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
NPI 1861041865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

3538 LANTERN VIEW LN, Scottdale, GA 30079

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 Ebonie Moore's NPI number?

The NPI number for Ebonie Moore is 1861041865. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Ebonie Moore located?

Ebonie Moore practices at 3538 Lantern View Ln, Scottdale, GA 30079. The listed phone number is (470) 269-4271.

What is Ebonie Moore's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Ebonie Moore was last updated on September 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.