JODI-ANN CAMILLE MOORE (NPI# 1962658963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962658963 |
| Entity Type | Individual |
| Full Name | JODI-ANN CAMILLE MOORE |
| Credential | P.A. |
| Practice Address |
900 Mohawk Street Ste E. Savannah GA 31419 |
| Practice Telephone | 9129250067 |
| Practice Fax Number | 9129252381 |
| Mailing Telephone | 9129250067 |
| Mailing Fax Number | 9129252381 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 005365 | GA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005365 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 MOHAWK STREET STE E. |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184258 | Angela M Rowden | Ophthalmology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-17 |
| 1265931216 | Courtney G Johnson | Nurse Practitioner | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2018-02-06 |
| 1255741591 | Anagen Systems, LLC | Durable Medical Equipment & Medical Supplies | 900 Mohawk Street, Savannah, GA 31419 | 2014-05-07 |
| 1578870457 | Julie Griner Mattox | Nurse Practitioner | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2010-09-13 |
| 1558538355 | Larry Ivan Canfield | Physician Assistant | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-05-12 |
| 1023201936 | Angela M Wilkinson | Registered Nurse | 900 Mohawk Street, Suite A, Savannah, GA 31419 | 2007-08-23 |
| 1831382811 | Richard Lee Parker IIi | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2007-08-22 |
| 1184786121 | Michael Rae Huntly | Plastic Surgery | 900 Mohawk Street, Suite A, Savannah, GA 31419-1772 | 2006-12-15 |
| 1063448009 | William R Marshall IIi | Dermatology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643030 | Meagan Bender | Physician Assistant | 11909 Mcauley Dr Ste D, Savannah, GA 31419-1794 | 2014-06-09 |
| 1174852149 | Michael Patrick Whitledge | Physician Assistant | 1510 Marlborough Way, Savannah, GA 31406-5048 | 2009-12-21 |
| 1376786566 | Amy B Millsap | Physician Assistant | 639a Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-17 |
| 1447405477 | Nicole Hope Degennaro | Physician Assistant | 720 E 71st St, Savannah, GA 31405-4907 | 2008-11-18 |
| 1649321654 | Patricia Lucille Emfinger | Physician Assistant | 225 Candler Dr Ste 300, Savannah, GA 31405-6091 | 2007-01-16 |
| 1427126812 | Thomas P Kennane | Physician Assistant | 101 Saint George Blvd Apt 10i, Savannah, GA 31419-9351 | 2006-12-01 |
| 1932219672 | Christopher Edgerton | Physician Assistant | 42 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-30 |
| 1669586137 | Susan Fetter | Physician Assistant | 44 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-19 |
| 1689689523 | William Michael Grabowski | Physician Assistant | 8 Wheeler St, Savannah, GA 31405-5710 | 2006-07-29 |
| 1538132857 | Timothy Jay Dare Jr. | Physician Assistant | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-02-08 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.