Individual provider Active NPI

Jonathan Ross Moore Sr., M.D.

  • General Practice Physician
  • Mobile, AL
National Provider Identifier
1598841322
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
30077 Issued in AL
Practice address
75 S Lafayette St
Mobile, AL 36604-1730
Phone
(251) 479-3309
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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
General Practice Physician 208D00000X 30077 AL Primary

Addresses

Primary practice location

75 S Lafayette St
Mobile, AL 36604-1730

Mailing address

75 S Lafayette St
Mobile, AL 36604-1730
Phone (251) 479-3309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002971 TN Practitioner - General Practice 8426180233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

2531 Elm Hill Pike
Nashville, TN 37214-3154
Phone (615) 883-6995

6413 Lee Hwy
Suite 107
Chattanooga, TN 37421-4860
Phone (423) 225-3358

Merit-based Incentive Payment System (MIPS)

Final score
72.42 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
79.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, LLC Current Accepting new patients
Afc Physicians of Tennessee, PC General Practice CurrentSince Sep 8, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Afc Physicians of Tennessee, PC General Practice CurrentSince Sep 8, 2023 Accepting new patients
American Current Care P.a. CurrentSince Oct 20, 2025 Accepting new patients
Crescent Wound Care Inc CurrentSince Apr 1, 2025 Accepting new patients
American Current Care PA CurrentSince Oct 20, 2025 Accepting new patients
American Family Care, LLC General Practice Past Accepting new patients

Locations

1635 Highway 31 NW
Hartselle, AL 35640
Phone (256) 735-5965

1635 Highway 31 NW
Ste C
Hartselle, AL 35640
Phone (256) 733-0110

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

3520 Cummings Hwy
Chattanooga, TN 37419
Phone (423) 822-5942

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

9203 Kingston Pike
Knoxville, TN 37922
Phone (865) 299-6192

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

87 Generations Dr
Spencer, TN 38585
Phone (423) 305-4712

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1598841322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S LAFAYETTE ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041730",
            "telephone_number": "251-479-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S LAFAYETTE ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041730",
            "telephone_number": "251-479-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JONATHAN",
        "middle_name": "ROSS",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "30077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.