Individual provider Active NPI

Marie Adele Moser, M.D.

  • Obstetrics & Gynecology Physician
  • Elizabeth City, NC
National Provider Identifier
1356760136
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018-01205 Issued in NC
Practice address
112 Medical Dr
Elizabeth City, NC 27909-3361
Phone
(252) 384-2610
NPI assigned
Apr 9, 2014
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 201511 NC
Obstetrics & Gynecology Physician 207V00000X 0101265178 VA
Obstetrics & Gynecology Physician 207V00000X 2018-01205 NC Primary

Addresses

Primary practice location

112 Medical Dr
Elizabeth City, NC 27909-3361

Mailing address

112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2610

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 343-7000

Other identifiers 1

IdentifierTypeStateIssuer
1356760136MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612001896 NC Practitioner - Obstetrics/Gynecology 8921224304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

120 Conner Dr
Suite 101
Chapel Hill, NC 27514-7092
Phone (919) 942-8571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01205NCMDObstetrics & Gynecology Physician
0101265178VAMDObstetrics & Gynecology Physician
201511NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Mar 12, 2019 Accepting new patients
Albemarle Regional Health Services CurrentSince Aug 20, 2019 Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Oct 16, 2023 Accepting new patients
Albemarle Regional Health Services CurrentSince Aug 20, 2019 Accepting new patients
Albemarle Physician Services - Sentara, Inc Obstetrics & Gynecology CurrentSince Mar 12, 2019 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

120 Conner Dr
Ste 101
Chapel Hill, NC 27514
Phone (919) 942-8571

209 E Carver St
Durham, NC 27704
Phone (919) 471-2273

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

112 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2151

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

7780 Brier Creek Pkwy
Ste 330
Raleigh, NC 27617
Phone (919) 914-9000

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: marie.moser.2@7773.direct.athenahealth.com
  • Direct secure messaging: mmoser560520@direct.medicine.duke.edu

Organizations & group practices 6

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1356760136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-343-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "MARIE",
        "middle_name": "ADELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "201511",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101265178",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-01205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356760136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.