Douglas B Moore, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00017804 Issued in AL

Practice address

700 W Market St
Athens, AL 35611-2457

Phone

(256) 265-9891

Fax

(256) 518-8276

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Emergency Medicine

Education

Meharry Medical College School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Limestone Medical AssociatesGroup PAC ID 7012378219, 6 clinicians

Athens Limestone Pain CenterGroup PAC ID 3072830769, 4 clinicians

Athens-Limestone ER PhysiciansGroup PAC ID 6204084502, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01A0
• bcbs alabama network 01B0
• bcbs alabama network 01G0
• bcbs alabama network 01E0
• bcbs alabama network 01H0

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.

• Athens-Limestone ER Physicians

  • Emergency Medicine Physician
  • Athens, AL
  • NPI 1528314119
  Medicare reassignment Care Compare group NPD
• Athens Limestone Pain Center

  • Pain Medicine Physician
  • Athens, AL
  • NPI 1689063851
  Medicare reassignment Care Compare group
• Limestone Medical Associates

  • Family Medicine Physician
  • Athens, AL
  • NPI 1295419901
  Medicare reassignment Care Compare group
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943
  Medicare reassignment NPD
• Advantage Family Care, Inc.

  • Rural Health Clinic/Center
  • Athens, AL
  • NPI 1518674936
  NPD
• Charles Anthony Gaputis

  • Family Medicine Physician
  • Rogersville, AL
  • NPI 1457506578
  NPD (past)
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  NPD (past)

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

• HH Health System - Athens Limestone, LLC

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1497742548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DRAWER 314",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460100",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112457",
            "telephone_number": "256-265-9891",
            "fax_number": "256-518-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00017804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051078970",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078970",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5149005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Monroe
• Mason Anthony Montney, PT, DPT
• Gregg Philip Moody, MD
• Cadeatrizlius Shawnquitia Moore, CRNP
• Darby Elizabeth Moore
• Haley Moore, BA
• Jamia Moore, DNP, APRN, CRNA
• Lindsey Brooke Moore, COTA
• Symone Moore
• Tionna L Moore, MSW

• Emergency Medicine Physician in Athens, AL
• Providers in Athens, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.