NPI age
19 years
Enumerated 2007-05-02
● Active
Type 1 · Individual
Stephanie Moore, L.M.P.
Moore is 1 of 12 specialist providers in Kennesaw and 1 of 1881 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1881 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
5150 Stilesboro Rd Nw Ste 430
Kennesaw, GA 301527759
Mailing address
1615 Cobb Pkwy N Apt 6204
Marietta, GA 300629205
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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