Individual provider Active NPI

David Moes

  • Psychiatric/Mental Health Nurse Practitioner
  • Calabash, NC
National Provider Identifier
1336697754
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015141 Issued in FL
Practice address
1072 Harbor Dr
Calabash, NC 28467-2300
Phone
(919) 810-0344
NPI assigned
Sep 14, 2016
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009156 NC
Family Nurse Practitioner 363LF0000X APRN11015141 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015141 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 149745 NC

Addresses

Primary practice location

1072 Harbor Dr
Calabash, NC 28467-2300

Mailing address

1072 Harbor Dr
Calabash, NC 28467-2300
Phone (919) 810-0344

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425000137 NC Practitioner - Nurse Practitioner 5193001352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Doctors Cir
Suite 6
Supply, NC 28462-4218
Phone (910) 755-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11015141FLMDFamily Nurse Practitioner
5009156NCMDFamily Nurse Practitioner
149745NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Health and Wellness Psychiatric/Mental Health CurrentSince Feb 21, 2026 Accepting new patients
Coastal Southeastern United Care LLC Single Specialty CurrentSince Aug 8, 2024 Accepting new patients
Treatment Centers LLC CurrentSince Aug 18, 2025 Accepting new patients
Coastal Southeastern United Care LLC PastSince Aug 8, 2024 Accepting new patients

Locations

2590 Onslow Dr
Jacksonville, NC 28540
Phone (252) 773-0195

3640 Express Dr
Shallotte, NC 28470
Phone (910) 294-8471

4437 Main St
Shallotte, NC 28470
Phone (910) 617-0222

10 Doctors Cir
Ste 6
Supply, NC 28462
Phone (910) 754-4600

100 Memory Plz
#A
Whiteville, NC 28472
Phone (910) 640-2230

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1336697754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 HARBOR DR",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672300",
            "telephone_number": "919-810-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 HARBOR DR",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672300",
            "telephone_number": "919-810-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOES",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015141",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015141",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "149745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabash, NC

Sources for this page

Verify at the official NPI Registry.