Sidney Rhee Moore, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

RN101929 Issued in GA

Practice address

3496 Indian LN
Atlanta, GA 30340-2708

Phone

(404) 661-5784

Fax

(404) 506-9006

NPI assigned

Jan 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Sidney Rhee Hunter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1881282408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 INDIAN LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303402708",
            "telephone_number": "140-466-1578",
            "fax_number": "404-506-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 INDIAN LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303402708",
            "telephone_number": "404-661-5784",
            "fax_number": "404-506-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SIDNEY",
        "middle_name": "RHEE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN101929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "HUNTER",
            "middle_name": "RHEE",
            "prefix": "MR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Moore
• Santevia Lawanda Moore, LCSW
• Sharea N Moore, NP
• Shianne Bridgette Moore
• Shonda Moore, RN
• Stephanie Moore
• Sydney Moore
• Tamela A. Moore, OTR/L
• Thomas Moore Jr., MD
• Thomas J Moore, MD

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.