Organization Active NPI

Moore Life Enterprises Inc

  • Hospitalist Physician
  • Nashville, TN
National Provider Identifier
1609869247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MOORE LIFE ENTERPRISES INC
Practice address
1412 County Hospital Rd
Nashville, TN 37218-3007
Phone
(615) 364-4158
Fax
(615) 837-3445
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wayne E Moore, MD
Title
President
Phone
(615) 837-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1412 County Hospital Rd
Nashville, TN 37218-3007

Mailing address

916 Quail Valley Dr
Brentwood, TN 37027-5806
Phone (615) 364-4158

Other identifiers 1

IdentifierTypeStateIssuer
3724343MedicaidTN

National Provider Directory

National Provider Directory

Locations

1414 County Hospital Rd
Nashville, TN 37218
Phone (615) 862-7000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609869247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 QUAIL VALLEY DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275806",
            "telephone_number": "615-364-4158",
            "fax_number": "615-837-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 COUNTY HOSPITAL RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372183007",
            "telephone_number": "615-364-4158",
            "fax_number": "615-837-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE LIFE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-837-3445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724343",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.