Moore Medical Group Inc
A Medicare group practice based in Lake Mary, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638354889), with 28 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9638354889
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL, NC, TN
- Enrollments
- 3
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140714002086 | NC | Part B Supplier - Clinic/Group Practice | 1578724183 |
| O20200911000247 | FL | Part B Supplier - Clinic/Group Practice | 1871117572 |
| O20220808000910 | TN | Part B Supplier - Clinic/Group Practice | 1578724183 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Moore Medical Group Inc
- Family Medicine Physician
- Lake Mary, FL
- NPI 1578724183
-
Moore Medical Group Inc
- Family Medicine Physician
- Lake Mary, FL
- NPI 1871117572
Practice locations
- Lake Mary, FL2
- Leland, NC1
- Garner, NC1
- Nashville, TN1
Clinicians 28
Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (18).
-
Jenny Brooke Baucom, PA-C
- Physician Assistant
- Burlington, NC
- NPI 1720400468
-
Lee Edward Boujie, PA-C
- Physician Assistant
- Camp Lejeune, NC
- NPI 1962734921
-
Karen Brown Jones, FNP-C
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1780665646
-
Amy Elizabeth Cate, FNP-C
- Family Nurse Practitioner
- Fuquay Varina, NC
- NPI 1033843388
-
Sadonna Marlene Cofield
- Family Nurse Practitioner
- Rocky Mount, NC
- NPI 1700407103
-
Jennah Cutting
- Family Nurse Practitioner
- Woodstock, GA
- NPI 1184161622
-
Joanna Rose Edwards, MD
- Family Medicine Physician
- Deltona, FL
- NPI 1558791434
-
Brandy Fedewa
- Mental Health Counselor
- Winter Park, FL
- NPI 1790047827
-
Meredith Melissa France, PA-C
- Physician Assistant
- North Wilkesboro, NC
- NPI 1245662774
-
Aries Hamlet, PA-C
- Physician Assistant
- Raleigh, NC
- NPI 1114641966
-
Daniel Jesson Hartley, DNP, FNP-BC, APRN
- Family Nurse Practitioner
- Leland, NC
- NPI 1518648633
-
Lori Hartley, PA
- Physician Assistant
- Wallace, NC
- NPI 1285849950
-
Bertine Jean Laurent, NP
- Family Nurse Practitioner
- Apopka, FL
- NPI 1881415123
-
Kaddijatou Sanyang Johnson, PA-C, MMS
- Physician Assistant
- Raleigh, NC
- NPI 1356739015
-
Kerry Keldon Mackey Sr.
- Physician Assistant
- Raleigh, NC
- NPI 1417599580
-
Christopher Michael Marsh, PA-C
- Physician Assistant
- Portsmouth, VA
- NPI 1982248217
-
Sarah Mojazza
- Physician Assistant
- Wilmington, NC
- NPI 1598273484
-
Wayne E Moore, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Nashville, TN
- NPI 1821081472
-
Grace Mbithe Mutisya, FNP-C
- Primary Care Nurse Practitioner
- Garner, NC
- NPI 1225985526
-
Nikolas Bryan Newton, PA-C, DO
- Physician Assistant
- Fredericksburg, VA
- NPI 1871009589
-
Davin O Nyangau
- Internal Medicine Physician
- Raleigh, NC
- NPI 1952926354
-
Millian Okafor
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
- NPI 1114403631
-
Jeffrey A Pearson
- Physician Assistant
- NPI 1528377165
-
Yiny Poveda, LCSW
- Clinical Social Worker
- Lake Mary, FL
- NPI 1396166849
-
Krishna P Uppu, MD
- Psychiatry Physician
- Longwood, FL
- NPI 1265567325
-
Robert Lee Watkins III, MD
- Child & Adolescent Psychiatry Physician
- Winter Park, FL
- NPI 1417206095
-
Larry T Wilson, MD
- Family Medicine Physician
- Butner, NC
- NPI 1134121221
-
Christopher Harold Wright, PHYSICIAN ASSISTANT
- Physician Assistant
- Virginia Beach, VA
- NPI 1790752715
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.