NPI age
3 years
Enumerated 2022-11-28
● Active
Type 1 · Individual
Shelathum Moore
Moore is 1 of 2 driver providers in Fairburn and 1 of 281 in Georgia.
Primary specialty
Driver
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 281 active driver providers in Georgia.
NPI age
3 years
≈ at median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Practice location
670 Birkdale Dr
Fairburn, GA 302132924
Mailing address
225 Market Place Connector # 1144
Peachtree City, GA 302693542
Specialties
-
Driver PrimaryA person employed to operate a motor vehicle as a carrier of persons or property.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.