Moore Family Care, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

9601161 Issued in NC

Legal business name

MOORE FAMILY CARE, PA

Practice address

301 S Middleton St
Robbins, NC 27325-8407

Phone

(910) 948-2059

Fax

(910) 948-2443

NPI assigned

Sep 11, 2008

Last updated

Dec 31, 2008By 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

Becky Ennis

Title

Administrator

Phone

(910) 948-2059

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Marcia H Ballard, FNP

  • Family Nurse Practitioner
  • Carthage, NC
  • NPI 1558365403
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1184873440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MIDDLETON ST",
            "city": "ROBBINS",
            "state": "NC",
            "postal_code": "273258407",
            "telephone_number": "910-948-2059",
            "fax_number": "910-948-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MIDDLETON ST",
            "city": "ROBBINS",
            "state": "NC",
            "postal_code": "273258407",
            "telephone_number": "910-948-2059",
            "fax_number": "910-948-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE FAMILY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-948-2059"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9601161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Lyon, R.PH.
• Justin Marley, LAT, ATC
• Jon Patrick McClain, RPH
• Monarch
• Monarch
• Nathaniel P Hifko DDS PLLC
• North Moore Family Practice PA
• Ashadet Graciela Pantaleon Rodriguez
• Peridot Consulting and Treatment Solutions PLLC
• Darrell Lee Powers, DDS

• Specialist in Robbins, NC
• Providers in Robbins, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.