NPIMap

Organization Active NPI

J. Moore M.D. LLC

Doing business as The Healthy Woman

  • Obstetrics & Gynecology Physician
  • Snellville, GA
National Provider Identifier
1780070730
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67368 Issued in GA
Legal business name
J. MOORE M.D. LLC
Doing business as
The Healthy Woman
Practice address
2860 Main St W Ste a
Snellville, GA 30078-3156
Phone
(770) 809-1199
Fax
(770) 266-0941
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Jocelyn Moore, MD
Title
Owner
Phone
(202) 494-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 67368 GA Primary

Addresses

Primary practice location

2860 Main St W Ste a
Snellville, GA 30078-3156

Mailing address

1350 Bullock PL SW
Lilburn, GA 30047-1989

Other practice location 1

1180 McKendree Church Rd Ste 204
Lawrenceville, GA 30043-5207
Phone (770) 809-1199

Other names 1

  • The Healthy Woman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151207001035 GA Part B Supplier - Clinic/Group Practice 6204136799 Receives reassigned benefits from 3 practitioners
Practice locations: Monroe, GA

National Provider Directory

National Provider Directory

Locations

2199 College Ave NE
Ste 200
Atlanta, GA 30317

2860 Main St W
#A
Snellville, GA 30078
Phone (770) 809-1100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1780070730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BULLOCK PL SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 MAIN ST W STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783156",
            "telephone_number": "770-809-1199",
            "fax_number": "770-266-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 McKendree Church Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300435207",
            "country_code": "US",
            "telephone_number": "770-809-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J. MOORE M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-494-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Woman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.