NPIMap

Individual provider Active NPI

Adams W Moore, M.D.

  • Diagnostic Radiology Physician
  • Rome, GA
National Provider Identifier
1578880308
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
75539 Issued in GA
Practice address
901 N Broad St NE
Suite 220
Rome, GA 30161-5201
Phone
(706) 291-2661
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 32325 AL
Diagnostic Radiology Physician 2085R0202X 75539 GA Primary

Addresses

Primary practice location

901 N Broad St NE
Suite 220
Rome, GA 30161-5201

Mailing address

901 N Broad St NE
Suite 220
Rome, GA 30161-5201
Phone (701) 291-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MS2 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
I20160725001834 GA Practitioner - Diagnostic Radiology 5496997850 Reassigns benefits to 2 organizations
I20180731000544 MS Practitioner - Diagnostic Radiology 5496997850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians

Practice addresses (Care Compare)

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75539GAMDDiagnostic Radiology Physician
32325ALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Imaging Associates CurrentSince Jul 1, 2016 Accepting new patients
Rome Radiology Group, PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
SMB Radiology P a Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Lakeland Radiologists P a Diagnostic Radiology PastSince Aug 1, 2022 Accepting new patients

Locations

255 W 5th St SW
Ste 150
Rome, GA 30165
Phone (706) 232-1545

1104 Martha Berry Blvd NE
Rome, GA 30165
Phone (706) 291-2077

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

901 N Broad St NE
Ste 220
Rome, GA 30161
Phone (706) 291-2077

1720A Medical Park Dr
Ste 110
Biloxi, MS 39532
Phone (228) 392-1224

14231 Seaway Rd
Ste 5003
Gulfport, MS 39503
Phone (228) 864-4392

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1365 Market St
Pascagoula, MS 39567
Phone (601) 762-1353

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

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.

Hospital & facility affiliations 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1578880308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BROAD ST NE",
            "address_2": "SUITE 220",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615201",
            "telephone_number": "701-291-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BROAD ST NE",
            "address_2": "SUITE 220",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615201",
            "telephone_number": "706-291-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADAMS",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "32325",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "75539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.