Individual provider Active NPI

Allison M Ward-Moore, MD

  • Obstetrics & Gynecology Physician
  • Paris, TX
National Provider Identifier
1295720498
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S4414 Issued in TX
Practice address
400 W Sherman St Ste 120
Paris, TX 75460-5646
Phone
(903) 785-4561
Fax
(706) 692-9364
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X S4414 TX Primary
Obstetrics & Gynecology Physician 207V00000X 053200 GA

Addresses

Primary practice location

400 W Sherman St Ste 120
Paris, TX 75460-5646

Mailing address

400 W Sherman St
Paris, TX 75460-5646
Phone (678) 232-6618

Other identifiers 2

IdentifierTypeStateIssuer
258734544AMedicaidGA
258734544CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20211108001491 TX Practitioner - Obstetrics/Gynecology 2961486659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1128 Clarksville St
Suite 150
Paris, TX 75460-0216
Phone (903) 669-2647

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Gynecology Multi-Specialty CurrentSince Jan 4, 2022 Accepting new patients
Paris-Lamar County Health District Multi-Specialty CurrentSince Oct 12, 2021 Accepting new patients

Locations

1128 Clarksville St
Ste 150
Paris, TX 75460
Phone (903) 669-2647

400 W Sherman St
Ste 120
Paris, TX 75460
Phone (903) 785-4561

400 W Sherman St
Paris, TX 75460
Phone (903) 669-2647

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1295720498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W SHERMAN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605646",
            "telephone_number": "678-232-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SHERMAN ST STE 120",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605646",
            "telephone_number": "903-785-4561",
            "fax_number": "706-692-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-MOORE",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S4414",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "053200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258734544A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258734544C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.