Active NPI
Clea J Moore, MD
- Family Medicine Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME161392
- Practice address
- 133 Benmore Dr Ste 200
Winter Park, FL 32792-4111 - Phone
- (407) 646-7070
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 283905 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ME161392 | FL | Primary |
Addresses
Primary practice location
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Mailing address
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone (407) 646-7070
Other practice location 1
600 Clark Rd Ste 3
Tewksbury, MA 01876-1698
Phone (978) 851-4141
Other practice location 2
850 5th Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770
Other practice location 3
7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204
Phone (407) 303-6830
Other practice location 4
7975 Lake Underhill Rd Ste 310
Orlando, FL 32822-8205
Phone (407) 303-6820
Other practice location 5
2501 N Orange Ave Ste 411
Orlando, FL 32804-4644
Phone (407) 303-7298
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Connecticut School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
12925 Hwy 601
Suite 300
Midland, NC 28107-9536
Phone (704) 888-3702
270 Copperfield Blvd NE
Suite 102
Concord, NC 28025-2443
Phone (704) 786-6521
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Carolinas Medical Center/Behav Health
- Lowell General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161392 | FL | MD | Family Medicine Physician |
| 4561 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| LGH Professional Services LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network, Inc | Family Medicine | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
270 Copperfield Blvd NE
Ste 10
Concord, NC 28025
Phone (704) 721-7430
12925 Highway 601
Ste 300
Midland, NC 28107
Phone (704) 258-2444
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
Interoperability endpoints
- cmoore2943856@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Concord, NC
- NPI 1023006707
-
- Family Medicine Physician
- Monroe, NC
- NPI 1376898148
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1144336587
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1104352954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BENMORE DR STE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924111",
"telephone_number": "407-646-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BENMORE DR STE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924111",
"telephone_number": "407-646-7070"
}
],
"practiceLocations": [
{
"address_1": "600 Clark Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Tewksbury",
"state": "MA",
"postal_code": "018761698",
"country_code": "US",
"telephone_number": "978-851-4141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 5th Ave E",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354017419",
"country_code": "US",
"telephone_number": "205-348-1770",
"fax_number": "205-348-6561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7975 Lake Underhill Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328228204",
"country_code": "US",
"telephone_number": "407-303-6830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7975 Lake Underhill Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328228205",
"country_code": "US",
"telephone_number": "407-303-6820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 N Orange Ave Ste 411",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044644",
"country_code": "US",
"telephone_number": "407-303-7298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CLEA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2024-11-21",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "283905",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME161392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.