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Dave Moorthy , LPC

Counselor - Professional β€’ Duluth, GA

Active NPI 1376069294 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2055 Sugarloaf Cir Ste 575
Duluth, GA 300979804

Call 4049997971 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2055 Sugarloaf Cir Ste 575

Duluth, GA 300979804

Telephone 4049997971
Organization at the Same NPPES Address or Phone
Pacific Coast Psychiatric Associates Inc Facility NPI 1023125465

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Duluth, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Personal Recovery Network Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1985

Years since graduation

41 years (graduated 1985)

CMS Doctors and Clinicians data list 1985 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dave Moorthy has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dave Moorthy as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Duluth and Georgia

49 active clinicians are listed under Counselor - Professional with a practice address in Duluth, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

8.2% of these 49 clinicians have the CMS telehealth indicator.

10.2% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC008255
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES GA C0108
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260325003078

Enrollment State Jurisdiction

GA

PECOS Control ID

8022592203

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Personal Recovery Network Llc

2055 Sugarloaf Cir, Duluth, GA 300979804

Phone: 4049997971

Secondary Practice Locations

6290 Abbotts Bridge Rd Ste 502

Duluth, GA 300975714

Phone: 6789364057

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Jagruti Chaudhari , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992245591

Psychiatric-Mental Health Nurse Practitioner

Karina Lydia , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1831659317

Psychiatric-Mental Health Nurse Practitioner

Omoniyi Mutiu , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396247359

Psychiatric-Mental Health Nurse Practitioner

Chinyere Okonkwo , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467954537

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address March 12, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

πŸ‘€
Provider Name / Credentials Updated March 12, 2026

Recorded as DAVE MOORTHY, LPC

πŸ“
Updated Practice Location December 30, 2025

Registered at 2055 SUGARLOAF CIR STE 575, DULUTH, GA 300979804 (Tel: 4049997971)

πŸ“
Updated Business Mailing Address December 30, 2025

Registered at 6290 ABBOTTS BRIDGE RD STE 502, JOHNS CREEK, GA 300975714 (Tel: 6789364057)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Counselor (license number reported to NPPES: GA LPC008255)

βœ…
NPI Profile Active August 22, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2017

Registered at 6290 ABBOTTS BRIDGE RD STE 502, DULUTH, GA 300975714 (Tel: (678) 936-4057)

πŸ“
Business Mailing Address (Initial Record) August 22, 2017

Registered at 6290 ABBOTTS BRIDGE RD STE 502, DULUTH, GA 300975714 (Tel: 6789364057)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2017

Recorded as DAVE MOORTHY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2017

Counselor (license number reported to NPPES: GA C0108)

🟒
Initial NPI Registration & Enumeration August 22, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376069294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2017
Last Update: March 12, 2026
Sole Proprietor: Yes

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.