NPI age
12 years
Enumerated 2013-06-10
● Active
Type 1 · Individual
DR. Shilene Moultrie-Johnson, ED.D
Moultrie-Johnson is 1 of 78 counselor providers in Fayetteville and 1 of 7547 in Georgia.
Primary specialty
Counselor
Licensed in
MA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7547 active counselor providers in Georgia.
NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Practice location
190 Eli Run
Fayetteville, GA 302143723
Mailing address
190 Eli Run
Fayetteville, GA 302143723
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | TR-BFTS-1397 | GEORGIA TRAINING APPROVAL: |
| 01 (GA) | 03112367967 | AMERICAN HEART ASSOCIATION/ BLS INSTRUCTOR |
| 01 (MA) | 1312032 | TEACHER'S LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new counselor providers have been added in Fayetteville in the last 180 days.
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- 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.