NPIMap

Individual provider Active NPI

Dorwin Tillman Moore, MD

  • Obstetrics & Gynecology Physician
  • Orangeburg, SC
National Provider Identifier
1396706248
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15840 Issued in SC
Practice address
2850 Pelham CT
Orangeburg, SC 29118-1400
Phone
(803) 395-3737
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD19789 TN
Obstetrics & Gynecology Physician 207V00000X 15840 SC Primary

Addresses

Primary practice location

2850 Pelham CT
Orangeburg, SC 29118-1400

Mailing address

205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

Other practice location 1

205 Hospital Dr
Suite a
Mc Kenzie, TN 38201-1649
Phone (731) 352-7907 ext. 429

Other identifiers 3

IdentifierTypeStateIssuer
3380640OtherTNMEDICARE GROUP
3380640OtherTNMEDICAID GROUP
7389OtherSCMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100923001149 SC Practitioner - Obstetrics/Gynecology 4486546652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, shared by 9 NPIs, 1,353 clinicians
The Regional Medical Center of Orangeburg and Calhoun CountiesGroup PAC ID 8527970771, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

2850 Pelham CT
Orangeburg, SC 29118-1400
Phone (803) 395-3737

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15840SCMDObstetrics & Gynecology Physician
MD19789TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 9, 2019 Accepting new patients
Musc Community Physicians Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 9, 2019 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 14, 2019 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
McKenzie Medical Center PC Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients
McKenzie Medical Center, PC Past Accepting new patients
Santee Cooper OB/GYN Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2850 Pelham Ct
Orangeburg, SC 29118
Phone (803) 395-3737

651A Harry C Raysor Dr
St Matthews, SC 29135
Phone (803) 395-3737

Interoperability endpoints

  • Direct secure messaging: dmoore442664@direct.musc.edu
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1396706248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PELHAM CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181400",
            "telephone_number": "803-395-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hospital Dr",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-352-7907 x429",
            "fax_number": "731-352-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DORWIN",
        "middle_name": "TILLMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD19789",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "15840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "7389",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.