Active NPI
Taschecka Morvia Moodie, AGNP
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN228769
- Practice address
- 5670 Peachtree Dunwoody Rd Ste 880
Atlanta, GA 30342-4789 - Phone
- (404) 256-2525
- Fax
- (404) 256-9589
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN228769 | GA | Primary |
Addresses
Primary practice location
5670 Peachtree Dunwoody Rd Ste 880
Atlanta, GA 30342-4789
Mailing address
PO Box 303
Clarkston, GA 30021-0303
Phone (404) 256-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5670 Peachtree Dunwoody Rd
Suite 880
Atlanta, GA 30342-4789
Phone (404) 256-2525
Hospital & facility affiliations
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 67.82
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 77.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Cardiovascular Professional Services, LLC | Current | Accepting new patients |
Locations
1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
5670 Peachtree Dunwoody Rd
Ste 880
Sandy Springs, GA 30342
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.
-
- Cardiovascular Disease Physician
- Roswell, GA
- NPI 1518979921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1023648243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 303",
"city": "CLARKSTON",
"state": "GA",
"postal_code": "300210303",
"telephone_number": "404-256-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 880",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424789",
"telephone_number": "404-256-2525",
"fax_number": "404-256-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODIE",
"first_name": "TASCHECKA",
"middle_name": "MORVIA",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN228769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.