Individual provider Active NPI

Michael Christopher Moore, MD

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1083685002
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701826 Issued in NC
Practice address
1415 S 3Rd St
Wilmington, NC 28401-6111
Phone
(910) 998-5893
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9701826 NC
Family Medicine Physician 207Q00000X 9701826 NC Primary

Addresses

Primary practice location

1415 S 3Rd St
Wilmington, NC 28401-6111

Mailing address

1415 S 3Rd St
Wilmington, NC 28401-6111
Phone (910) 998-5893

Other practice location 1

7560 Carpenter Fire Station Rd
Cary, NC 27519-9650
Phone (919) 235-6545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoore117224@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111001000 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3870557663 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 235-6410

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Lower Cape Fear Lifecare Hospice, Wilmington, NC, CCN 341515
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Trinity Grove Nursing home, Wilmington, NC, CCN 345554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9701826NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Med Fast, P. C. CurrentSince Oct 22, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Family Medicine CurrentSince Nov 15, 2025 Accepting new patients
Wake Specialty Physicians CurrentSince Jul 11, 2016 Accepting new patients
NMG Health Services LLC CurrentSince Nov 15, 2025 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Jul 11, 2016 Accepting new patients
Wake Specialty Physicians, LLC Emergency Medicine Current Accepting new patients
New Hanover Medical Group PA Family Medicine Past Accepting new patients
Chapel Hill Urgent Care PLLC Emergency Medicine PastSince Apr 6, 2005 Accepting new patients

Locations

212 Ashville Ave
Cary, NC 27518
Phone (919) 859-1136

7560 Carpenter Fire Station Rd
Cary, NC 27519
Phone (919) 235-6545

605 W Cumberland St
Dunn, NC 28334
Phone (910) 891-1391

231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

2406 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 539-3796

2920 Highwoods Blvd
Raleigh, NC 27604

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1423 Greenfield St
Wilmington, NC 28401
Phone (910) 662-0761

Interoperability endpoints

  • Direct secure messaging: mmoore117224@directhisp.wakemed.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1083685002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S 3RD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016111",
            "telephone_number": "910-998-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S 3RD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016111",
            "telephone_number": "910-998-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7560 Carpenter Fire Station Rd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275199650",
            "country_code": "US",
            "telephone_number": "919-235-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9701826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoore117224@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "7560 Carpenter Fire Station Rd",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275199650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.