Michael N. Moore, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

00015780 Issued in AL

Practice address

42024 Highway 195
Haleyville, AL 35565-7054

Phone

(205) 486-5213

Fax

(205) 485-7127

NPI assigned

May 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Anesthesiology

Education

University of South Alabama College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gi Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1326569187

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Coastal Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1750753786
  Medicare reassignment NPD
• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment NPD
• Anesthesia Services of Alabama Inc

  • Anesthesiology Physician
  • Tuscaloosa, AL
  • NPI 1114362365
  NPD (past)
• Anesthesiology Consultants of the Shoals

  • Anesthesiology Physician
  • Florence, AL
  • NPI 1396794582
  NPD (past)
• Bear Creek Anesthesia, Inc.

  • Anesthesiology Physician
  • Russellville, AL
  • NPI 1588614234
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639120447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MARENGO ST",
            "address_2": "C",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306012",
            "telephone_number": "256-764-9697",
            "fax_number": "256-764-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42024 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-486-5213",
            "fax_number": "205-485-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00015780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn McCullar, MS, PT
• Sabrina McGuire
• Mid-South Anesthesia Service
• Beth K Moore, PT, DPT, ATC
• Karen L Moore, CRNP
• More Than Words Speech Pathology Services, LLC
• Julie Michelle Murray
• Northside Pharmacy, LLC (Global Pharmacy)
• Northwest Alabama Mental Health Center
• Northwest Alabama Surgical Specialists, PC

• Anesthesiology Physician in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.