Organization Active NPI

Elite Rose Healthcare Services P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
National Provider Identifier
1205352093
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
APRN207446 Issued in GA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ayjanah Rasheeda Moore, NP-CNPI 1871908095
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.