Individual provider Active NPI

Joseph G Moyer, MD

  • Allergy & Immunology Physician
  • Florence, SC
National Provider Identifier
1104983550
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
15976 Issued in SC
Practice address
800 E Cheves St
Ste 420
Florence, SC 29506-2650
Phone
(843) 679-9335
Fax
(843) 669-4214
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 15976 SC Primary

Addresses

Primary practice location

800 E Cheves St
Ste 420
Florence, SC 29506-2650

Mailing address

800 E Cheves St
Ste 420
Florence, SC 29506-2650
Phone (843) 679-9335

Other identifiers 1

IdentifierTypeStateIssuer
159768MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100325000098 SC Practitioner - Allergy/Immunology 7113061409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Sinus CtrGroup PAC ID 8921067703, 4 clinicians

Practice addresses (Care Compare)

5046 Hwy 17 S Byp 105
Myrtle Beach, SC 29588-4503
Phone (843) 293-5000

800 E Cheves St
Suite 420
Florence, SC 29506-2649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Sinus Ctr Allergy & Immunology CurrentSince Jan 1, 1997 Accepting new patients

Locations

800 E Cheves St
Ste 420
Florence, SC 29506
Phone (843) 679-9335

3980 Highway 9 E
Ste 260
Little River, SC 29566
Phone (843) 399-9033

5046 Highway 17 Byp S
Ste 105
Myrtle Beach, SC 29588
Phone (843) 293-5000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104983550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST",
            "address_2": "STE 420",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-679-9335",
            "fax_number": "843-669-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST",
            "address_2": "STE 420",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-679-9335",
            "fax_number": "843-669-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "15976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.