Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407122401 Individual Practitioner Male Practitioner

Jonathan Moore

Case Manager/Care Coordinator • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Jonathan Moore is a registered healthcare professional specializing in Case Manager/Care Coordinator in Lithonia, GA. Practice services are available at 8075 MALL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8075 Mall Pkwy
Ste. 101-334

Lithonia, GA 300386993

Telephone 6785081935
Fax 7703231935
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Lithonia, GA (1047 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
743527131A (GA)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Robyn Shields

Case Manager/Care Coordinator

NPI 1174889943
Aleke Farley

Registered Nurse - Community Health

NPI 1396426607
Veronica Watkins

Case Manager/Care Coordinator

NPI 1427394816
Karen Alleyne-Pierre , MA-PSYCHOLOGY

Case Manager/Care Coordinator

NPI 1447511142

MAPSYCHOLOGY

Brian Bowers

Case Manager/Care Coordinator

NPI 1487951703
Leanne Foster-Abraham

Speech-Language Pathologist

NPI 1871853069

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2012

Registered at 8075 MALL PKWY, STE. 101-334, LITHONIA, GA 300386993 (Tel: 6785081935)

📍
Updated Business Mailing Address March 24, 2012

Registered at 2542 YOUNG RD, STONE MOUNTAIN, GA 300884204 (Tel: 6785081935)

👤
Provider Name / Credentials Updated March 24, 2012

Recorded as JONATHAN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2012

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1407122401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2012
Last Update: March 24, 2012
Sole Proprietor: Yes

Mailing Address

2542 Young Rd

Stone Mountain, GA 300884204

Phone: 6785081935

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.