Samantha Heuertz Moore, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2018-01953 Issued in NC

Practice address

501 Eastowne Dr Ste 220
Chapel Hill, NC 27514-6224

Phone

(919) 408-3212

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Ashton Heuertz Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Psychological & Family Services Inc

  • Psychologist
  • Chapel Hill, NC
  • NPI 1023141611
  NPD
• CPFS Consultants PLLC

  • Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1427781095
  NPD
• Cherry Hospital State of North Carolina

  • Psychiatric Hospital
  • Goldsboro, NC
  • NPI 1164756714
  NPD (past)
• University of North Carolina Hospitals at Chapel Hill

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1154741106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DR STE 220",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146224",
            "telephone_number": "919-408-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DR STE 220",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146224",
            "telephone_number": "919-408-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "1st Floor Neurosciences Hospital",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-966-5217",
            "fax_number": "919-966-9646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SAMANTHA",
        "middle_name": "HEUERTZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2018-01953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HEUERTZ",
            "middle_name": "ASHTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla Moore
• Katherine Elizabeth Moore
• Kendra Denise Moore, MD, MPH
• Mekayla Moore
• Modjulie Alexandra Moore, M.D.
• Brent Eric Moos, MSW
• Merry K Moos, FNP
• Morgan Amber Mooty
• Ana Valtelhas Morais, MD
• Christopher Gerard Morais Jr., MD

• Psychiatry Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.