Active NPI
Abby Moore, PA
- Physician Assistant
- Milton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9108867
- Practice address
- 4244 Avalon Blvd
Milton, FL 32583-2808 - Phone
- (448) 227-5750
- Fax
- (448) 227-9676
- NPI assigned
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9108867 | FL | Primary |
Addresses
Primary practice location
4244 Avalon Blvd
Milton, FL 32583-2808
Mailing address
PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954
Other practice location 1
9295 Scenic Hwy
Pensacola, FL 32514-8055
Phone (850) 983-3528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4244 Avalon Blvd
Milton, FL 32583-2808
Phone (448) 227-5750
9295 Scenic Hwy
Pensacola, FL 32514-8055
Phone 8509833528102
Hospital & facility affiliations
- Baptist Hospital
- Santa Rosa Medical Center
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9108867 | FL | MD | Physician Assistant |
Interoperability endpoints
- abby.moore.1@10592.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1376779892
-
- Medical Specialty Clinic/Center
- Pensacola, FL
- NPI 1417348830
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1275909269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95590",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840950590",
"telephone_number": "801-784-0954",
"fax_number": "801-352-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4244 AVALON BLVD",
"city": "MILTON",
"state": "FL",
"postal_code": "325832808",
"telephone_number": "448-227-5750",
"fax_number": "448-227-9676"
}
],
"practiceLocations": [
{
"address_1": "9295 Scenic Hwy",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325148055",
"country_code": "US",
"telephone_number": "850-983-3528",
"fax_number": "850-983-3546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ABBY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9108867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.