NPIMap

Individual provider Active NPI

Melissa Jo Moore, M.D.

  • Obstetrics & Gynecology Physician
  • Murrells Inlet, SC
National Provider Identifier
1144548884
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
82108 Issued in SC
Practice address
4017 Highway 17 by-Pass
Murrells Inlet, SC 29576
Phone
(843) 651-6525
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN14644 FL
Obstetrics & Gynecology Physician 207V00000X 82108 SC Primary

Addresses

Primary practice location

4017 Highway 17 by-Pass
Murrells Inlet, SC 29576

Mailing address

4017 Highway 17
Murrells Inlet, SC 29576-5032
Phone (843) 651-6525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610000281 SC Practitioner - Obstetrics/Gynecology 3072838390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

606 Black River Rd
Suite 300
Georgetown, SC 29440-3304
Phone (843) 546-3132

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN14644FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Associates LLC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Carolina OB-GYN LLC Obstetrics & Gynecology CurrentSince May 13, 2019 Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Waccamaw Community Hospital Past Accepting new patients
Carolina OBGYN Obstetrics & Gynecology Past Accepting new patients

Locations

606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343

1007 N Fraser St
Georgetown, SC 29440
Phone (843) 527-4343

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4017 Highway 17
Murrells Inlt, SC 29576
Phone (843) 651-6525

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: melissa.moore@co1l.eclinicaldirectplus.com
  • Direct secure messaging: mmoore447860@direct.musc.edu

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.

Hospital & facility affiliations 4

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1144548884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765032",
            "telephone_number": "843-651-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 HIGHWAY 17 BY-PASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-651-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN14644",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "82108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.