Active NPI
Kevin Emmanuel Moriles, DO
- Critical Care Medicine (Internal Medicine) Physician
- Atlanta, GA
National Provider Identifier
1073193835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 95974
- Practice address
- 95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721 - Phone
- (404) 605-5000
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 95974 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 12667 | GA |
Addresses
Primary practice location
95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Mailing address
95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Phone (404) 605-5000
Other practice location 1
1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165
Phone (706) 389-3875
Other practice location 2
2501 N Orange Ave
Orlando, FL 32804-4603
Phone (407) 303-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210621001216 | GA | Order and Referring Only - Critical Care (Intensivists) | 8426458951 | |
| I20240606002315 | FL | Order and Referring Only - Critical Care (Intensivists) | 8426458951 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12667 | GA | MD | Internal Medicine Physician |
| 21016 | FL | MD | Pediatric Physical Therapist |
Interoperability endpoints
- kmoriles2021432@direct.trinity-health.org
- kmoriles3562134@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1073193835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW STE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091721",
"telephone_number": "404-605-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW STE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091721",
"telephone_number": "404-605-5000"
}
],
"practiceLocations": [
{
"address_1": "1500 Oglethorpe Ave Ste 200D",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062165",
"country_code": "US",
"telephone_number": "706-389-3875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 N Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044603",
"country_code": "US",
"telephone_number": "407-303-7133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORILES",
"first_name": "KEVIN",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "95974",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "12667",
"primary": false
}
],
"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 Aug 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.