Active NPI
Gail Elizabeth Moore, PA-C
- Physician Assistant
- Roxboro, NC
National Provider Identifier
1346283975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3762 Durham Rd Ste a
Roxboro, NC 27573-2741 - Phone
- (336) 330-0400
- NPI assigned
- Jun 13, 2006
- Last updated
- May 24, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 249 | TN | |
| Physician Assistant | 363A00000X | PA-968 | AR | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Mailing address
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Phone (336) 330-0400
Other practice location 1
700 US 1 Hwy Ste 100
Youngsville, NC 27596-7873
Phone (919) 562-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4069024 | Other | TN | BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, KY, WV, GA, NC, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-968 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Person Urgent Care LLC | Current | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Physician Assistant | Past | Accepting new patients |
| Hospital Based Medical Services of Tennessee-I PC | Physician Assistant | Past | Accepting new patients |
| Cane Ridge Emergency Physicians LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients |
Locations
3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400
700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340
Interoperability endpoints
- gail.moore.2@20247.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Urgent Care Clinic/Center
- Roxboro, NC
- NPI 1275043481
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1982643938
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NC, VA
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
- Durable Medical Equipment & Medical Supplies
- Chapel Hill, NC
- NPI 1417460940
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1598714826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1346283975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 DURHAM RD STE A",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-330-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 DURHAM RD STE A",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-330-0400"
}
],
"practiceLocations": [
{
"address_1": "700 US 1 Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Youngsville",
"state": "NC",
"postal_code": "275967873",
"country_code": "US",
"telephone_number": "919-562-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "GAIL",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "249",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-968",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "4069024",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.