Active NPI
Joel Richard Moore, MD
- Emergency Medicine Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48177
- Practice address
- East Cooper Medical Center 2000 Hospital Drive
Mount Pleasant, SC 29464 - Phone
- (843) 416-6100
- Fax
- (585) 473-3516
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 48177 | TN | Primary |
Addresses
Primary practice location
East Cooper Medical Center 2000 Hospital Drive
Mount Pleasant, SC 29464
Mailing address
East Cooper Medical Center 2000 Hospital Drive
Mount Pleasant, SC 29464
Phone (843) 416-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48177 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
Locations
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Mount Pleasant, SC
- NPI 1619271020
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1477404911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1528200128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EAST COOPER MEDICAL CENTER 2000 HOSPITAL DRIVE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-416-6100",
"fax_number": "585-473-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST COOPER MEDICAL CENTER 2000 HOSPITAL DRIVE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-416-6100",
"fax_number": "585-473-3516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOEL",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "48177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.