EBONIE MONIQUE MOORE (NPI# 1861041865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861041865 |
| Entity Type | Individual |
| Full Name | EBONIE MONIQUE MOORE |
| Practice Address |
3538 Lantern View Ln Scottdale GA 30079-6806 |
| Practice Telephone | 4702694271 |
| Mailing Telephone | 4702694271 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | GA | Other Service Providers |
| Street Address |
3538 LANTERN VIEW LN |
| City | SCOTTDALE |
| State | GA |
| Zip Code | 30079-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932211513 | Christopher David Morehead | Occupational Therapist | 3104 North Ave, Scottdale, GA 30079-1025 | 2006-08-31 |
| 1902824204 | Gregory Alan Haley | Psychiatry & Neurology | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2006-07-17 |
| 1932506557 | Gail Harris Counseling, LLC | Counselor | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2014-11-25 |
| 1730330705 | Gregory A. Haley Md, PC | Psychiatry & Neurology | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2008-10-08 |
| 1922282052 | R Neil Johnston Md LLC | Psychiatry & Neurology | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2007-12-26 |
| 1407988934 | Gail R Harris | Counselor | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2007-03-10 |
| 1710038153 | Elle Udaykee Trapkin | Social Worker | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2007-01-14 |
| 1063525384 | Wendy R West | Counselor | 3033 N Decatur Rd, Scottdale, GA 30079-1143 | 2006-08-17 |
| 1982888335 | Constance Elanie Jamison | Specialist | 3420 E Ponce De Leon Ave, Scottdale, GA 30079-1202 | 2007-12-20 |
| 1245409432 | Jazz-me Hair Designs, LLC | Prosthetic/Orthotic Supplier | 3420 E Ponce De Leon Ave, Scottdale, GA 30079-1202 | 2008-02-21 |
| Find all providers in zip 30079 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093151110 | Irish R Bigby | Contractor | 354 Marigna Ave, Scottdale, GA 30079-1744 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.