Sharea N Moore, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0912305 Issued in GA

Practice address

601 McDonough Blvd SE
Atlanta, GA 30315-4400

Phone

(404) 635-5467

NPI assigned

Sep 25, 2012

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 names 1

• Sharea N Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nephrology Consultants of Georgia, P.C.

  • Specialist
  • Atlanta, GA
  • NPI 1265502892
  NPD (past)

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1679824098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870347",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870009",
            "telephone_number": "770-910-3744",
            "fax_number": "404-601-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MCDONOUGH BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154400",
            "telephone_number": "404-635-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4512 Warrior Trl SW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300474152",
            "country_code": "US",
            "telephone_number": "470-539-3347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5261 Woodland Pass Cir",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300872224",
            "country_code": "US",
            "telephone_number": "404-401-3374",
            "fax_number": "404-601-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAREA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN207060",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F0912305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0912305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAREA",
            "last_name": "MOORE",
            "middle_name": "N",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicolas Moore
• Nishee Moore, A-LPC
• Rachelle Moore, LCSW
• Robin Moore
• Santevia Lawanda Moore, LCSW
• Shianne Bridgette Moore
• Shonda Moore, RN
• Sidney Rhee Moore, NP
• Stephanie Moore
• Sydney Moore

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.