Active NPI
Dayna Moore, D.C
- Sports Physician Chiropractor
- Atlanta, GA
National Provider Identifier
1174862122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIR009103
- Practice address
- 3915 Cascade Rd SW
Atlanta, GA 30331-8512 - Phone
- (404) 699-0966
- NPI assigned
- Feb 12, 2013
- Last updated
- Sep 9, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009103 | GA | |
| Nutrition Chiropractor | 111NN1001X | CHIR009103 | GA | |
| Sports Physician Chiropractor | 111NS0005X | CHIR009103 | GA | Primary |
| Rehabilitation Chiropractor | 111NR0400X | CHIR009103 | GA |
Addresses
Primary practice location
3915 Cascade Rd SW
Atlanta, GA 30331-8512
Mailing address
4982 Covington Hwy
Decatur, GA 30035-2017
Phone (404) 288-8433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
777 Cleveland Ave SW
Suite 309
Atlanta, GA 30315-7118
Phone (678) 871-6437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009103 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Rehab & Wellness Centers | Rehabilitation | Current | Accepting new patients |
Locations
777 Cleveland Ave SW
Ste 309
Atlanta, GA 30315
Phone (404) 734-6122
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Morrow, GA
- NPI 1255807855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1174862122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4982 COVINGTON HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352017",
"telephone_number": "404-288-8433",
"fax_number": "404-288-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 CASCADE RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318512",
"telephone_number": "404-699-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DAYNA",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009103",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "GA",
"license": "CHIR009103",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR009103",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR009103",
"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 Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.