NPIMap

Individual provider Active NPI

Ashleigh Brooke Moore, NP-C

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1467799494
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
874295 Issued in MS
Practice address
12057 Highway 49 Ste C
Gulfport, MS 39503-3177
Phone
(228) 832-9385
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 874295 MS Primary

Addresses

Primary practice location

12057 Highway 49 Ste C
Gulfport, MS 39503-3177

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
200016801MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashleigh.carlisle.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20140516001195 MS Practitioner - Nurse Practitioner 7618190786 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Grove Urgent CareGroup PAC ID 6103978721, 11 clinicians
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians
Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians
Centerwell Senior Primary Care Ms PCGroup PAC ID 0143694190, 14 clinicians

Practice addresses (Care Compare)

10556 Hwy 49
Gulfport, MS 39503-4109
Phone (228) 539-2399

12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185

1514 Bienville Blvd
Ocean Springs, MS 39564-3006
Phone (228) 382-9222

2650 Beach Blvd
Suite 40
Biloxi, MS 39531-4517
Phone (228) 273-4611

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Grove Urgent Care CurrentSince Mar 2, 2024 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince May 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ms PC CurrentSince Jul 21, 2025 Accepting new patients
Singing River Health System CurrentSince Jun 11, 2018 Accepting new patients
Singing River Gulfport CurrentSince Oct 7, 2021 Accepting new patients
Centerwell Senior Primary Care Ms PC Current Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince Mar 2, 2024 Accepting new patients
Ocean Springs Urgent Care CurrentSince Mar 2, 2024 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

12057 Highway 49
Ste C
Gulfport, MS 39503
Phone (228) 831-1140

6615 Washington Ave
Ste H
Ocean Springs, MS 39564
Phone (228) 382-9221

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

Interoperability endpoints

  • Direct secure messaging: ashleigh.carlisle@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: ateates@direct.mysrhs.com

Organizations & group practices 10

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.

Hospital & facility affiliations 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1467799494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12057 HIGHWAY 49 STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033177",
            "telephone_number": "228-832-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEIGH",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "874295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016801",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashleigh.carlisle.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12057 Highway 49 Ste C",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395033177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.