Active NPI
James D Moore Jr., MD
- Obstetrics & Gynecology Physician
- Abingdon, VA
National Provider Identifier
1508848375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101025906
- Practice address
- 227 W Main St
Abingdon, VA 24210-2715 - Phone
- (276) 628-6011
- Fax
- (276) 628-3923
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101025906 | VA | Primary |
Addresses
Primary practice location
227 W Main St
Abingdon, VA 24210-2715
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (276) 628-6011
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002074 | Other | ANTHEM | |
| CK3042 | Other | MDCR RR | |
| TN0101 | Other | JOHN DEERE | |
| 1508848375 | Medicaid | VA | |
| 006260802 | Medicaid | VA | |
| C08321 | Other | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101025906 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Virginia Physicians for Women | Obstetrics & Gynecology | Past | Accepting new patients |
| DRS Glover and Moore PC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- jamesmoorejr@hmgpath.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Abingdon, VA
- NPI 1922099753
-
- Specialist
- Abingdon, VA
- NPI 1255326245
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1508848375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "276-628-6011",
"fax_number": "276-628-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102715",
"telephone_number": "276-628-6011",
"fax_number": "276-628-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101025906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "002074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR RR",
"identifier": "CK3042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508848375",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006260802",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C08321",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.