KESHIA MOORE (NPI# 1821255159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821255159 |
| Entity Type | Individual |
| Full Name | KESHIA MOORE |
| Credential | R.N. |
| Practice Address |
304 Pierce Ave Macon GA 31204-2422 |
| Practice Telephone | 4787512825 |
| Practice Fax Number | 4787512897 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN-124512 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TAX I.D. NUMBER | 58-0622971 | 01 |
| Street Address |
304 PIERCE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568524882 | Methodist Home of The South Ga Conference | Community/Behavioral Health | 304 Pierce Ave, Macon, GA 31204-2422 | 2006-12-14 |
| 1295195568 | Glen Bennett | Counselor | 304 Pierce Ave, Macon, GA 31204-2422 | 2016-03-01 |
| 1073916235 | Ellen Thomas | Marriage & Family Therapist | 304 Pierce Ave, Macon, GA 31204-2422 | 2014-10-02 |
| 1942600630 | Vernisa' Ashley | Counselor | 304 Pierce Ave, Macon, GA 31204-2422 | 2014-08-29 |
| 1023378239 | Mary Angie Mcgukin | Counselor | 304 Pierce Ave, Macon, GA 31204-2422 | 2012-05-22 |
| 1750548079 | Carolyn Dailey | Registered Nurse | 304 Pierce Ave, Macon, GA 31204-2422 | 2008-05-22 |
| 1083871313 | Debra Deignan | Registered Nurse | 304 Pierce Ave, Macon, GA 31204-2422 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840451 | Emily Lauren Brooks | Registered Nurse | 104 Ellis Way, Macon, GA 31216-6278 | 2020-10-28 |
| 1134728447 | Daniela Morgan Ragins | Registered Nurse | 4287 Vinson Ave, Macon, GA 31206-4055 | 2020-10-19 |
| 1639796501 | Tyler Kael Crews | Registered Nurse | 3951 Ridge Ave Ste B, Macon, GA 31210-5063 | 2020-06-26 |
| 1669933479 | Tristin Elizabeth Neumann | Registered Nurse | 1206 N Missouri St, Macon, MO 63552-2149 | 2019-03-26 |
| 1578051777 | Lucinda Hasty | Registered Nurse | 2916 Thornwood Dr, Macon, GA 31204-1218 | 2018-04-24 |
| 1811495518 | Tunisia Iyana Amos | Registered Nurse | 500 Northside Xing Ste B, Macon, GA 31210-2377 | 2018-01-28 |
| 1659895043 | Angela Nicole Ohanu | Registered Nurse | 770 Pine St Ste. L-40, Macon, GA 31201-7521 | 2017-07-28 |
| 1881143576 | Dara Edghill-odle | Registered Nurse | 815 Shady Bank Ct, Macon, GA 31220-5379 | 2016-09-23 |
| 1194189613 | Wanda Lafay Lary | Registered Nurse | 2077 Melton Ave, Macon, GA 31217-4416 | 2016-04-11 |
| 1184096307 | Sandra Scott | Registered Nurse | 2711 Horseshoe Dr, Macon, GA 31211-2560 | 2015-10-27 |
| Find all providers in MACON | ||||
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| 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.