NPIMap

Individual provider Active NPI

David Moise

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1245734367
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87011 Issued in GA
Practice address
3699 Cascade Rd SW Ste B2
Atlanta, GA 30331-2163
Phone
(404) 691-7006
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 87011 GA Primary

Addresses

Primary practice location

3699 Cascade Rd SW Ste B2
Atlanta, GA 30331-2163

Mailing address

PO Box 1471
Mableton, GA 30126-1007
Phone (516) 699-2769

Other practice location 1

720 Westview Dr SW # A
Atlanta, GA 30310-1458
Phone (404) 752-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001199 GA Practitioner - Family Practice 1850794116 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Health Center of CobbGroup PAC ID 7214970482, 3 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1605 Roberta Dr SW
Marietta, GA 30008-3855
Phone (770) 419-3120

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

3699 Cascade Rd SW
Suite B2
Atlanta, GA 30331-2163
Phone (404) 691-7006

882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87011GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Health Center of Cobb CurrentSince Jul 1, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Wellstreet of Georgia PC CurrentSince Dec 1, 2021 Accepting new patients
Summit Medical Group, Inc Family Medicine PastSince Jul 1, 2025 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3699 Cascade Rd SW
Ste B2
Atlanta, GA 30331
Phone (404) 367-3350

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1605 Roberta Dr SW
Marietta, GA 30008
Phone (770) 419-3120

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1245734367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1471",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261007",
            "telephone_number": "516-699-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 CASCADE RD SW STE B2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312163",
            "telephone_number": "404-691-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW # A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-752-1000",
            "fax_number": "404-752-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISE",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "87011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.