Caroline Fountain Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14625 Issued in NC

Practice address

15441 US Highway 17 Ste 501
Hampstead, NC 28443-0016

Phone

(910) 685-7307

NPI assigned

Mar 29, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Campbell Univ School of Osteopathic Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Care PLLCGroup PAC ID 2264867803, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Coastal Carolina Care PLLC

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1760027874
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1639920432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARKSIDE LN",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284458836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15441 US HIGHWAY 17 STE 501",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430016",
            "telephone_number": "910-685-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLINE",
        "middle_name": "FOUNTAIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Glenn Miller, M.D.
• Daniel Miller, D.D.S
• Abigail Elizabeth Mincey, DMD
• Monica M. Pierpan, DDS, PA
• Moonstone Counseling, PLLC
• Kim Moses
• Angela G Moulton
• Tina H. Mull, OTR/L
• Meghan Stoda Mullen
• Alexandria Harman Mullins, COTA/L

• Physician Assistant in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.