Individual provider Active NPI

Gilda Moss-Traore, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1619368107
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN191759 Issued in GA
Practice address
2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621
Phone
(770) 933-5328
Fax
(470) 980-0507
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN191759 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN191759 GA Primary

Addresses

Primary practice location

2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621

Mailing address

2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621
Phone (770) 933-5328

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150718000028 GA Practitioner - Nurse Practitioner 0749593846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Edgecare 360 LLCGroup PAC ID 1658758396, 3 clinicians

Practice addresses (Care Compare)

3485 N Desert Dr
Suite 110
East Point, GA 30344-5724
Phone (770) 933-5328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN191759GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgecare 360 LLC CurrentSince Jan 3, 2025 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

3485 N Desert Dr
Ste 110
East Point, GA 30344
Phone (770) 933-5328

2470 Windy Hill Rd SE
Ste 300
Marietta, GA 30067
Phone (678) 561-5066

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619368107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678621",
            "telephone_number": "770-933-5328",
            "fax_number": "470-980-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678621",
            "telephone_number": "770-933-5328",
            "fax_number": "470-980-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS-TRAORE",
        "first_name": "GILDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191759",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN191759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.