More Wellness Medical Clinic LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MORE WELLNESS MEDICAL CLINIC LLC

Practice address

4019 Cobblewood Dr
Disputanta, VA 23842-4518

Phone

(757) 724-7310

Fax

(757) 724-7310

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tera N Moore, NPNPI 1942785167

Title

Nurse Practitioner

Phone

(757) 724-7310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tera N Moore, NP

  • Family Nurse Practitioner
  • Disputanta, VA
  • NPI 1942785167
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1154296408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 COBBLEWOOD DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424518",
            "telephone_number": "757-724-7310",
            "fax_number": "757-724-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 COBBLEWOOD DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424518",
            "telephone_number": "757-724-7310",
            "fax_number": "757-724-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE WELLNESS MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "757-724-7310",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Roosevelt King, M.D.
• Cory Andrew Lane, M.S. CCC-SLP
• Loving Hands Homecare LLC
• Magnolia Woods, LLC
• Tera N Moore, NP
• Shawana Roach
• Tyesha Shaw
• Southern Living Child Care LLC
• Southern Living Services LLC
• Katherine Hall Vickers, O.T.R.

• Nurse Practitioner in Disputanta, VA
• Providers in Disputanta, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.