Anthony Allen Moore, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104697 Issued in FL

Practice address

4215 Edgewater Dr
Orlando, FL 32804-2206

Phone

(855) 582-7747

Fax

(888) 972-4761

NPI assigned

Aug 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amoore71642@epicdirect.hf.org

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.

• PA Associates 'LLC.'

  • Surgical Physician Assistant
  • Indialantic, FL
  • NPI 1891001939
  Medicare reassignment Authorized official
• Physician Assistant Services of Florida LLC

  • Surgical Physician Assistant
  • Melbourne, FL
  • NPI 1972673184
  NPD (past)
• Southeastern Clinical Services,Inc.

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1033162011
  NPD (past)

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

• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1497901029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46 STE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041568",
            "telephone_number": "973-894-1265",
            "fax_number": "888-972-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042206",
            "telephone_number": "855-582-7747",
            "fax_number": "888-972-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 N Wickham Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402240",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "fax_number": "321-868-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315595",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "fax_number": "321-868-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 W Cocoa Beach Cswy Ste 505",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313562",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "fax_number": "321-868-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8745 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329405997",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "fax_number": "321-868-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANTHONY",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9104697",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QSS SCS PTAN",
            "identifier": "BJ031X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132026300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Cletis Moor, A.T.
• Asteria Moore-Belghazi
• Linda Moore-Short
• Aaron M Moore, L.M.H.C.
• Adina Moore, MS
• Brennan Moore
• Brittney Ann Moore
• Caitlyn Moore, PA
• Carolyn Moore, PMHNP-BC
• Carolyn Mercedes Moore, MSW, LCSW

• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.