Breauna Moore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN270385 Issued in GA

Practice address

905 Melville Dr
Stockbridge, GA 30281-2912

Phone

(404) 276-6808

NPI assigned

Sep 22, 2025

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1700758596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MELVILLE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MELVILLE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812912",
            "telephone_number": "404-276-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BREAUNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN270385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saunsarae Montanez-Simmons, P.T.
• Carla Montfort
• Sheree C. Montgomery, PT, DPT
• Shamara Moody, LPC, DCC
• Steven Allen Moon Jr., DNP
• Candace Renata Moore, CCC,SLP
• Jacinta L Moore, NP
• Mackenzie Moore
• Tyleka Moore
• Wafiyyah Moore

• Registered Nurse in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.