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

Lashanda Denise Moore, NP

Individual provider Family Nurse Practitioner · NPI 1205306891

Lashanda Denise Moore, NP is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2018, 8 years ago. Practices with Qcpi-Villagemd PC, a 77-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5582 Memorial Dr
Stone Mountain, GA 30083-3215
Phone: (404) 298-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN249446 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN249446 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN-NP249446 (GA)

Record details

NPI number1205306891
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026
Mailing address5582 Memorial Dr, Stone Mountain, GA 30083-3215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Qcpi-Villagemd Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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