Santrell Denise Hart-Moreland, O.D.,M.P.H.

Primary specialty

OptometristTaxonomy code 152W00000X

License

001761 Issued in GA

Practice address

158 Fairview Rd
Suite B
Ellenwood, GA 30294-2795

Phone

(678) 289-5835

Fax

(678) 289-5837

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Elevated Eye Care Inc

  • Optometrist
  • McDonough, GA
  • NPI 1730332370
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1376613968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FAIRVIEW RD",
            "address_2": "SUITE B",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942795",
            "telephone_number": "678-289-5835",
            "fax_number": "678-289-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FAIRVIEW RD",
            "address_2": "SUITE B",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942795",
            "telephone_number": "678-289-5835",
            "fax_number": "678-289-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART-MORELAND",
        "first_name": "SANTRELL",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "O.D.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001761",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "001761",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "001761",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GA",
            "license": "1761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832818B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832818C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lacerne Hall
• Ashley Nicole Hand
• Eastlyn E Harding-Marin, M.D.
• Cheryl Delores Harrell Brinkley, PSY.D
• Angela Harris
• Harvestlodge Homes and Services for Children and Families
• Kamica Ross Hatchett, CRNA
• Lenora Hawkins
• Dwight D Hayes, PHARM D
• Abosede Haygood

• Optometrist in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.