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Active NPI 1548481682 Individual Practitioner Female Practitioner

Stephanie Moore , LMP

Specialist • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Stephanie Moore, LMP is a registered healthcare professional specializing in Specialist in Kennesaw, GA. Practice services are available at 5150 STILESBORO RD NW STE 430 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5150 Stilesboro Rd Nw Ste 430

Kennesaw, GA 301527759

Telephone 4707464690
Associated Practice Facility / Clinic
🏢 Uplift Psychiatry Facility NPI 1285407361

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Kennesaw, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Kennesaw, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-21
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 010605

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kathryn Keel , OTR, L

Occupational Therapist

NPI 1083911994

Occupational Therapist Registered, L

Ragena Mcdonald , OTR, L

Occupational Therapist

NPI 1336476902

Occupational Therapist Registered, L

Lindsey Isley

Speech-Language Pathologist

NPI 1669042206
Jennifer Boner

Occupational Therapist

NPI 1962049437
Carrin Harrison , LPC, NCC

Counselor - Professional

NPI 1972024727

Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 21, 2024

Registered at 5150 STILESBORO RD NW STE 430, KENNESAW, GA 301527759 (Tel: 4707464690)

📍
Updated Business Mailing Address October 21, 2024

Registered at 1615 COBB PKWY N APT 6204, MARIETTA, GA 300629205 (Tel: 2069304200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2024

Specialist (License #010605 in GA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2041 E MADISON ST, SEATTLE, WA 981222959 (Tel: 2069304200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3029 19TH AVE S, SEATTLE, WA 981445829 (Tel: 2069304200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE MOORE, L.M.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

🟢
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548481682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: October 21, 2024
Sole Proprietor: Yes

Mailing Address

1615 Cobb Pkwy N Apt 6204

Marietta, GA 300629205

Phone: 2069304200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.