Active NPI
Nathaniel J Moore
- Behavior Technician
- McDonough, GA
National Provider Identifier
1003426461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 382 Racetrack Rd
McDonough, GA 30252-1022 - Phone
- (678) 691-2206
- NPI assigned
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
382 Racetrack Rd
McDonough, GA 30252-1022
Mailing address
2472 Jett Ferry Rd Ste 400-197
Atlanta, GA 30338-3059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-123056 | Other | GA | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nathaniel@pathwaysbehavior.com | Health Information Exchange (HIE) | Pathways Behavioral Consulting, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Behavioral Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1508267139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1003426461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 JETT FERRY RD STE 400-197",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303383059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "678-691-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NATHANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2023-11-27",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-123056",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nathaniel@pathwaysbehavior.com",
"affiliation": "Y",
"endpointDescription": "Direct message",
"affiliationName": "Pathways Behavioral Consulting, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct message",
"address_1": "2472 Jett Ferry Rd Ste 400-197",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303383059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.