Carmen Lucia Moreno, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200401655 Issued in NC

Practice address

205 Martin Luther King Jr Pkway
Snow Hill, NC 28580

Phone

(252) 747-4199

Fax

(252) 747-8400

NPI assigned

Jun 20, 2006

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen.moreno@contentneahealth.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greene County Health Care Incorporated

  dba Contentnea Health Greene

  • Federally Qualified Health Center (FQHC)
  • Snow Hill, NC
  • NPI 1891798054
  Medicare reassignment NPD
• Greene County Health Care Incorporated

  dba Contentnea Health Bernstein

  • Federally Qualified Health Center (FQHC)
  • Greenville, NC
  • NPI 1194811026
  NPD
• Greene County Health Care Incorporated Dba Contentnea Health

  dba Contentnea Health JH Rose

  • Federally Qualified Health Center (FQHC)
  • Greenville, NC
  • NPI 1760220123
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1306882337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MARTIN LUTHER KING PARKWAY",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801332",
            "telephone_number": "252-747-4199",
            "fax_number": "252-747-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARTIN LUTHER KING JR PKWAY",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "28580",
            "telephone_number": "252-747-4199",
            "fax_number": "252-747-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARMEN",
        "middle_name": "LUCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME83746",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200401655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901227",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas McCollum
• Christine C Miller, RNC, FNP
• Lisa Chase Miller, RN
• Brittany Mills
• Allison Michelle Mireles, COTA
• Gavin Mundy, DMD
• New Beginning Services Inc
• Amy Sue Norbury
• Optimal Beginnings, Inc.
• Roshni Patel, PHARMD.

• Pediatrics Physician in Snow Hill, NC
• Providers in Snow Hill, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.