George Moore, MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26325 Issued in NC

Legal business name

GEORGE MOORE, MD PLLC

Practice address

11081 Forest Pines Dr
Suite 124
Raleigh, NC 27614-7655

Phone

(919) 435-6967

Fax

(888) 941-6387

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. George Horace Moore Jr., M.D.

Title

Owner

Phone

(919) 607-0623

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1265873277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11081 FOREST PINES DR",
            "address_2": "SUITE 124",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147655",
            "telephone_number": "919-435-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11081 FOREST PINES DR",
            "address_2": "SUITE 124",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147655",
            "telephone_number": "919-435-6967",
            "fax_number": "888-941-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MOORE, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HORACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-607-0623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960521",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Gentry
• Tracy Lynn Gentry
• Bailey Genwright, LPN
• Genysisnp
• George Ja Zarb DDS Ms PA
• George T. Gamblin, MD PA
• Alyssa Williams George, M.D.
• Caroline Ferguson George, RPH
• Jennifer Ann George, LCSWA
• Jeremy Michael George, MA

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.