NPIMap

Individual provider Active NPI

Virginia Jeanne Kearney Moore, PA-C

  • Physician Assistant
  • Wesley Chapel, NC
National Provider Identifier
1396015772
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03223 Issued in NC
Practice address
6480 Weddington Road
Wesley Chapel, NC 28104
Phone
(704) 316-5650
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-03223 NC Primary

Addresses

Primary practice location

6480 Weddington Road
Wesley Chapel, NC 28104

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

130 Sally Crab Ct
Kill Devil Hills, NC 27948-9199
Phone (252) 916-6697

Other practice location 2

6488 Weddington Monroe Rd
Wesley Chapel, NC 28104-7948
Phone (704) 316-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000423 NC Practitioner - Physician Assistant 2062670151 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Apr 6, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 6, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 1, 2013 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 1, 2013 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Mar 16, 2016 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Coastal Family Medicine and Wellness Center,PLLC Past Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients
North Carolina Em I Medical Services P C Physician Assistant Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5200 N Croatan Hwy
Ste 7
Kitty Hawk, NC 27949
Phone (252) 255-6119

1995 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 316-3030

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

6488 Weddington Rd
Wesley Chapel, NC 28104
Phone (704) 316-5650

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: vmoore1465741@direct.novanthealth.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

6480 Weddington Monroe Rd
Wesley Chapel, NC 28104-7948
Phone (704) 316-5650

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1396015772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 WEDDINGTON ROAD",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "704-316-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Sally Crab Ct",
            "address_purpose": "LOCATION",
            "city": "Kill Devil Hills",
            "state": "NC",
            "postal_code": "279489199",
            "country_code": "US",
            "telephone_number": "252-916-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6488 Weddington Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "NC",
            "postal_code": "281047948",
            "country_code": "US",
            "telephone_number": "704-316-5650",
            "fax_number": "704-316-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VIRGINIA",
        "middle_name": "JEANNE KEARNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, NC

Sources for this page

Verify at the official NPI Registry.