| Mrs Erica Latrice Moore, CRNA | |
|
80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | |
| (404) 616-1000 | |
| Not Available |
| Full Name | Mrs Erica Latrice Moore |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518356922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 190546 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024196055 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 541 |
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 111 |
| Grady Memorial Hospital Corporation | 7517032998 | 367 |
| Smg Anesthesia Specialists Llc | 6305081118 | 480 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Entity Name | Southcare Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942713326 PECOS PAC ID: 0345504494 Enrollment ID: O20180522002496 |
| Entity Name | Dpi Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
| Entity Name | Riverdale Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831910512 PECOS PAC ID: 2163952284 Enrollment ID: O20250205000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erica Latrice Moore, CRNA 437 Waterbury Way, Douglasville, GA 30134-6079 Ph: (678) 481-5334 | Mrs Erica Latrice Moore, CRNA 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 616-1000 |
Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249 | |
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121 | |
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771 | |
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437 |