John Thomas Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100460 Issued in NC

Practice address

2154 Sutton Hooten LN
La Grange, NC 28551-8252

Phone

(252) 566-3298

Fax

(252) 566-2829

NPI assigned

Aug 31, 2005

Last updated

Feb 17, 2010By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

91.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morcom Medical Consultants, PLLC

  • Family Medicine Physician
  • Dover, NC
  • NPI 1447314075
  Medicare reassignment

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1508850983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 SUTTON HOOTEN LN",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285518252",
            "telephone_number": "252-521-2957",
            "fax_number": "252-566-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 SUTTON HOOTEN LN",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285518252",
            "telephone_number": "252-566-3298",
            "fax_number": "252-566-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "2335762",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER NUMBER",
            "identifier": "2763714A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamiko Loftin, LCSW
• Joseph Anthony Marchese Jr., DDS
• Mary Taylor Homes
• Lisa Radford May
• Keith Michael McGinnis, RPH
• Nova Ic, Inc.
• Nova Ic, Inc.
• Open Door Counseling NC, PLLC
• Kimberly Robin Outlaw, LCAS-A
• Paradigm, Inc.

• Physician Assistant in La Grange, NC
• Providers in La Grange, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.