Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

207446 Issued in GA

Practice address

3900 Crown Road S.W.
#162432
Atlanta, GA 30321

Phone

(404) 944-1174

NPI assigned

Jun 26, 2014

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Lotus Haven PCGroup PAC ID 4688094980, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Lotus Haven PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1164035564

  Family

  Medicare reassignment Care Compare group NPD
• Uhs of Anchor L.P.

  dba Southern Crescent Behavioral Health System

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920
  Medicare reassignment NPD
• Elite Rose Healthcare Services P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
  • NPI 1205352093
  Authorized official Same address or phone
• Sunny Rose Integrative Healthcare Services P.C.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1982122974
  NPD (past) Authorized official
• Uhs of Anchor L.P.

  dba Anchor Hospital

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429
  NPD

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1871908095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DUTCHVIEW DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497642",
            "telephone_number": "404-944-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CROWN ROAD S.W.",
            "address_2": "#162432",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30321",
            "telephone_number": "404-944-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AYJANAH",
        "middle_name": "RASHEEDA SHERIE",
        "name_prefix": "Ms.",
        "credential": "FNP- C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "207446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN207446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "207446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna B Moore, PHD
• Anne Berryman Moore, PSYD
• Anne L Moore, PSY.D.
• Armoni D Moore
• Ashby Malloy Moore, PA-C
• Bradley Bancroft Moore, M.D.
• Brian Lee Moore, PH.D.
• Brittany Moore
• Brooks L Moore, MD
• Candice M. Moore, OD

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.