Active NPI
Suzanne Peers Moore, LISW-CP
- Professional Counselor
- Elberton, GA
National Provider Identifier
1982964821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4903
- Practice address
- 93 Carey St
Elberton, GA 30635-1435 - Phone
- (864) 512-1810
- Fax
- (864) 512-8619
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4903 | SC | Primary |
Addresses
Primary practice location
93 Carey St
Elberton, GA 30635-1435
Mailing address
93 Carey Street
Elberton, GA 30635
Phone (864) 512-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4903 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1982964821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 CAREY STREET",
"city": "ELBERTON",
"state": "GA",
"postal_code": "30635",
"telephone_number": "864-512-1810",
"fax_number": "864-512-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 CAREY ST",
"city": "ELBERTON",
"state": "GA",
"postal_code": "306351435",
"telephone_number": "864-512-1810",
"fax_number": "864-512-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SUZANNE",
"middle_name": "PEERS",
"name_prefix": "Ms.",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elberton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.