Active NPI
Atavia Moorer, PHLEBOTOMIST
- Phlebotomy Technician
- Simpsonville, SC
National Provider Identifier
1023830635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 2607 Woodruff Rd Ste E
PMB 3104
Simpsonville, SC 29681 - Phone
- (877) 743-7020
- NPI assigned
- Oct 26, 2024
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | SC | Primary |
Addresses
Primary practice location
2607 Woodruff Rd Ste E
PMB 3104
Simpsonville, SC 29681
Mailing address
2607 Woodruff Rd Ste E
PMB 3104
Simpsonville, SC 29681
Phone (877) 743-7020
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1023830635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 WOODRUFF RD STE E",
"address_2": "PMB 3104",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "29681",
"telephone_number": "877-743-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 WOODRUFF RD STE E",
"address_2": "PMB 3104",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "29681",
"telephone_number": "877-743-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORER",
"first_name": "ATAVIA",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-26",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.