Active NPI
Elite Rose Healthcare Services P.C.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
National Provider Identifier
1205352093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- APRN207446
- Legal business name
- ELITE ROSE HEALTHCARE SERVICES P.C.
- Practice address
- 2783 Santa Barbara Dr NW
Atlanta, GA 30318-7326 - Phone
- (404) 944-1174
- NPI assigned
- Aug 14, 2017
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayjanah Rasheeda Moore, NP-C
- Title
- Nurse Practitioner
- Phone
- (404) 944-1174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | APRN207446 | GA | Primary |
Addresses
Primary practice location
2783 Santa Barbara Dr NW
Atlanta, GA 30318-7326
Mailing address
2783 Santa Barbara Dr NW
Atlanta, GA 30318-7326
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1871908095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1205352093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2783 SANTA BARBARA DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303187326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2783 SANTA BARBARA DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303187326",
"telephone_number": "404-944-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE ROSE HEALTHCARE SERVICES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "AYJANAH",
"authorized_official_middle_name": "RASHEEDA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "404-944-1174",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "GA",
"license": "APRN207446",
"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 Sep 11, 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.