Active NPI
Margrette Macfie Moore, MD
- General Practice Physician
- Farmville, VA
National Provider Identifier
1588822316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101247831
- Practice address
- 742 Via Sacra
Farmville, VA 23901-5638 - Phone
- (804) 301-5799
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101247831 | VA | Primary |
Addresses
Primary practice location
742 Via Sacra
Farmville, VA 23901-5638
Mailing address
742 Via Sacra
Farmville, VA 23901-5638
Phone (804) 301-5799
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101247831 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1588822316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 VIA SACRA",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239015638",
"telephone_number": "804-301-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 VIA SACRA",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239015638",
"telephone_number": "804-301-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MARGRETTE",
"middle_name": "MACFIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "VA",
"license": "0101247831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.