Charles Edward Moore Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15163 Issued in AL

Practice address

2407 Helton Dr Ste B
Florence, AL 35630-1067

Phone

(256) 764-9613

Fax

(256) 764-8474

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Preferred Home Health Home health agency, Florence, AL, CCN 017177
• North Alabama Medical Center Hospital, Florence, AL, CCN 010006
• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Merit-based Incentive Payment System (MIPS)

Final score

95.63 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

85.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr. Ty Ashley M.D. LLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1972970358
  NPD
• Timothy Dale Ashley MD PC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1912197872
  NPD

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

• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation
• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation
• Shoals Home Services, LLC

  • Home Health Agency
  • Florence, AL
  • NPI 1477806859
  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1629038609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-718-7001",
            "fax_number": "256-718-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-764-9613",
            "fax_number": "256-764-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501284",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Marie Moody, ALC
• Amy Moor, LPC
• Anne Taylor Moore, FNP-C
• April Shavon Moore, CLD
• Candace J Moore
• Judy Thompson Moore, M.D.
• Marsha Lynn Moore
• Rebekah Butler Moore, CRNP
• Stacy Lynn Moore, CRNP
• Taylor Norton Moore, OTR/L

• Family Medicine Physician in Florence, AL
• Providers in Florence, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.