Chelse Moore, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004740 Issued in GA

Practice address

555 Serene Waters TRL
Jonesboro, GA 30236-5497

Phone

(770) 506-9676

Fax

(770) 506-9677

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Speech and Language Services Inc

  • Multi-Specialty Clinic/Center
  • Jonesboro, GA
  • NPI 1275292302
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073686820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302370723",
            "telephone_number": "770-506-9676",
            "fax_number": "770-506-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SERENE WATERS TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365497",
            "telephone_number": "770-506-9676",
            "fax_number": "770-506-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHELSE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "004740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarfraz Ahmad Mohamed, MD
• Mecca Mohammed
• Althea Montgomery
• Tiara Moore-James
• Chaska Lashawn Moore, PA-C
• Angela M Morello, M.D.
• Romeo R Moriles, MD
• Sylvia E Morris, MD
• Cristyle Lynn Morrison, ACNP
• Shirley Ann Morton

• Speech-Language Pathologist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.