Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Moore

Individual provider Case Manager/Care Coordinator · NPI 1407122401

Jonathan Moore is a Case Manager/Care Coordinator in Lithonia, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012

Practice location Address checks out

8075 Mall Pkwy Ste 101-334
Lithonia, GA 30038-6993
Phone: (678) 508-1935
Fax: (770) 323-1935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (GA)

Record details

NPI number1407122401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2012
Last updated in NPPESMarch 24, 2012
Mailing address2542 Young Rd, Stone Mountain, GA 30088-4204

Other providers in Lithonia