Michelle Marie Moorfield, MMSC, RD, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003802 Issued in GA

Practice address

1670 Clairmont Rd
Room11C-136
Decatur, GA 30033-4004

Phone

(404) 321-6111

Fax

(404) 728-7782

NPI assigned

Jun 15, 2006

Last updated

Apr 2, 2009By the provider in NPPES

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1265476055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GARLAND AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304940",
            "telephone_number": "404-354-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "address_2": "ROOM11C-136",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "404-321-6111",
            "fax_number": "404-728-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORFIELD",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MMSC, RD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Michelle Moore
• Melvin R Moore, MD
• Ryan L Moore, RRT
• Zakia Abukhdeir Moore, LCSW
• James W Moorer, SOCIAL WORKER
• Joel Marie Moorhead, RN
• Evelyn R Morales, NP
• Alexandra Moran, MPT
• Morgan Smith LLC
• Alishia Ann Morgan, RN

• Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.