SHAWN ANTHONY MOORE (NPI# 1750800058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750800058 |
| Entity Type | Individual |
| Full Name | SHAWN ANTHONY MOORE |
| Practice Address |
900 N Hairston Rd Ste A3 Stone Mountain GA 30083-2857 |
| Mailing Address |
1921 Brook View Ave Doraville GA 30340-3850 |
| Practice Telephone | 6789024947 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 00243250 | GA | Emergency Medical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 N Hairston Rd Ste A, Stone Mountain, GA 300832857 | 6789024947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508264912 | Shawn Paul Moore | Home Health Aide | 868 E 95th St, Cleveland, OH 44108-2134 | 2014-12-17 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| 1720152127 | Shawn D Moore | Chiropractor | 2520 Avenue K, #700-772, Plano, TX 75074-5342 | 2006-11-17 |
| 1255345039 | Shawn Lee Moore | Dentist | 4544 Taylorsville Rd, Louisville, KY 40220-3528 | 2006-07-28 |
| 1700414802 | Shawn David Moore | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 | 2020-04-01 |
| 1306498191 | Shawn Taylor Moore | Massage Therapist | 1720 Dutch Fork Rd Ste D, Irmo, SC 29063-8871 | 2019-07-11 |
| 1396205605 | Shawn E Moore | Student in an Organized Health Care Education/Training Program | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-03-22 |
| 1316444151 | Shawn Donald Moore | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz # Ms 390, Houston, TX 77030-3411 | 2018-04-09 |
| 1861920977 | Shawn Thomas Moore | Family Medicine | 7375 W Us 52, New Palestine, IN 46163-8950 | 2017-06-02 |
| 1912350158 | Shawn Moore | Physical Therapist | 35 Bel Aire Dr, Newport, VT 05855-4953 | 2016-07-22 |
| Street Address |
900 N HAIRSTON RD STE A3 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210704 | Andre Grant | Emergency Medical Technician, Intermediate | 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528 | 2019-05-13 |
| 1790247070 | Jonathan Pace | Emergency Medical Technician, Intermediate | 4683 Redan Rd, Stone Mountain, GA 30083 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850856 | Christopher Lee Bailey | Emergency Medical Technician, Intermediate | 1893 Lathrop St Se, Atlanta, GA 30315-6917 | 2020-08-10 |
| 1881214872 | Roger Lee Jackson II | Emergency Medical Technician, Intermediate | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-04-20 |
| 1760944334 | Arelious Dunn | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-04-03 |
| 1811488836 | Jeffrey Touchberry | Emergency Medical Technician, Intermediate | 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 | 2018-05-24 |
| 1689101479 | Pamela Olivia Dugar | Emergency Medical Technician, Intermediate | 3117 Deans Bridge Rd, Augusta, GA 30906-3379 | 2017-05-11 |
| 1457890824 | James Richard Dow II | Emergency Medical Technician, Intermediate | 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 | 2017-02-18 |
| 1023566387 | Kalli Pelar Coleman Addison | Emergency Medical Technician, Intermediate | 131 Cypress Ln, Eatonton, GA 31024-7567 | 2016-09-15 |
| 1437567385 | Anthony Quinn Hodge | Emergency Medical Technician, Intermediate | 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 | 2014-07-23 |
| 1720353642 | Santos Efrain Ortiz | Emergency Medical Technician, Intermediate | 4761 Pauline Rd, Douglasville, GA 30135-4575 | 2012-03-09 |
| 1760634059 | Dbhg Enterprises LLC | Emergency Medical Technician, Intermediate | 5700 Hillandale Dr Bldg 200, Suite 210, Lithonia, GA 30058-4103 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on SHAWN ANTHONY MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.