Shawn Anthony Moore

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

00243250 Issued in GA

Practice address

900 N Hairston Rd Ste A3
Stone Mountain, GA 30083-2857

Phone

(678) 902-4947

NPI assigned

Sep 18, 2017

Sex

Male

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

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.

• E Z Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Stone Mountain, GA
  • NPI 1023522844
  NPD Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750800058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 BROOK VIEW AVE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303403850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HAIRSTON RD STE A3",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832857",
            "telephone_number": "678-902-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Hairston Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300832857",
            "country_code": "US",
            "telephone_number": "678-902-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "GA",
            "license": "00243250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliane A Monthe Nchako
• Ellie D. Moody
• Charles Andrew Moore, DMD
• Danielle Leandrea Moore, LPN
• Lashanda Denise Moore, NP
• Frederick Daniel Morgan, D.O.
• Morningstar Kompanion LLC
• Jemekia Morris Thornton
• Monica Lynnette Morris
• Selima R Morrow, LMSW

• Intermediate Emergency Medical Technician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intermediate Emergency Medical Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.