Marcia Liliana Moran, MD
Individual provider Active NPI Pediatrics Physician · Elon, NC
NPI 1003859943 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1003859943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2012-00217 (NC)
- Practice address
- 908 South Williamson Avenue
Elon, NC 27244 - Phone
- (336) 538-2416
- Fax
- (336) 584-6811
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230501002239 | NC | Practitioner - Pediatric Medicine | 9133176027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2005-0134 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| International Family Clinic | Pediatrics | Past | Accepting new patients |
| Eastern Medical Associates LLC | Past | Accepting new patients |
Locations
1234 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-1234
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
908 S Williamson Ave
Elon, NC 27244
Phone (336) 538-1234
Interoperability endpoints
- mmoran@tapmedicine.gwaydirect.com
- mmoran540675@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2012-00217 | NC | Yes |
| Pediatrics Physician | 208000000X | MD2005-0134 | NM |
Addresses
Primary practice location
908 South Williamson Avenue
Elon, NC 27244
Mailing address
1234 Huffman Mill Road
Burlington, NC 27215-8700
Phone (336) 538-1234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91926025 | Medicaid | NM |
Other names
- Marcia L Ortiz / Payamps
Other providers in Elon, NC
- Lura Elizabeth McMurray
- Joshua F Medlin
- Angela Meikle
- Mildred Blackwell
- Veronica Mondaca
- Stephanie Morrow
- Amanda C Morsell
- Ashley Bennett Motley
- Natural Bridges Rehabilitation LLC
- Meindert Albert Niemeyer
All providers in Elon, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.