Active NPI
Thomas Allen Moore, M.D.
- Family Medicine Physician
- Aiken, SC
National Provider Identifier
1285721795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19409
- Practice address
- 37 Varden Dr
Aiken, SC 29803-5297 - Phone
- (803) 644-7897
- Fax
- (803) 643-3026
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19409 | SC | Primary |
Addresses
Primary practice location
37 Varden Dr
Aiken, SC 29803-5297
Mailing address
37 Varden Dr
Aiken, SC 29803-5297
Phone (803) 644-7897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194097 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rural Practice Management, Inc. | Past | Accepting new patients | |
| Strong Health Chiropractic LLC | Past | Accepting new patients | |
| Aiken Integrated Medical, PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Blackville, SC
- NPI 1699808006
-
- Neurology Chiropractor
- Aiken, SC
- NPI 1184818593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285721795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 VARDEN DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035297",
"telephone_number": "803-644-7897",
"fax_number": "803-643-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 VARDEN DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035297",
"telephone_number": "803-644-7897",
"fax_number": "803-643-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "THOMAS",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "19409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194097",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.