Jerome Moore
NPI 1841605797ActiveIndividual· Emergency Medical Technician, Basic· Snellville, GA
Emergency Medical Technician, Basic in Snellville, Georgia, licensed in GA, with an NPI issued in June 2014.
Overview
| NPI | 1841605797 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2014 |
| Last updated in NPPES | Feb 20, 2020 |
| Certified by provider | Feb 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medical Technician, Basic Primary | 146N00000X | E029658 | GA |
| Clinic/Center, Adult Day Care | 261QA0600X | — | — |
| Nurse's Aide | 376K00000X | CN0030028021 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|