NPIMap

Individual provider Active NPI

Samantha Leona Moore, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1558600148
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07589 Issued in NC
Practice address
160 Hendersonville Rd
Asheville, NC 28803-2680
Phone
(828) 210-2835
Fax
(828) 274-1375
NPI assigned
Feb 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2308 SC
Physician Assistant 363A00000X PA9107077 FL
Physician Assistant 363A00000X 0010-07589 NC Primary

Addresses

Primary practice location

160 Hendersonville Rd
Asheville, NC 28803-2680

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150602000201 SC Practitioner - Physician Assistant 5294056313 Reassigns benefits to 2 organizations
I20171206003228 NC Practitioner - Physician Assistant 5294056313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
The Family Health Centers PAGroup PAC ID 6002884723, 28 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

206 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 258-8681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2308SCMDOptometrist
PA9107077FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Apr 6, 2015 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 6, 2015 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 6, 2015 Accepting new patients
Greenville Health System CurrentSince Apr 6, 2015 Accepting new patients
The Family Health Centers, PA CurrentSince Jul 31, 2025 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Fastmed Urgent Care PC Past Accepting new patients

Locations

206 Asheland Ave
Asheville, NC 28801
Phone (828) 258-8681

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

11 Park Creek Dr
Greenville, SC 29605
Phone (864) 295-2131

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/33492/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.moore.1@33492.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1558600148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032680",
            "telephone_number": "828-210-2835",
            "fax_number": "828-274-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SAMANTHA",
        "middle_name": "LEONA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2308",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107077",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.