Alexis Dolor Moore, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6513 Issued in NC

Practice address

447 S Sharon Amity Rd Ste 140
Charlotte, NC 28211-2888

Phone

(704) 900-9143

Fax

(704) 364-6267

NPI assigned

Feb 26, 2024

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

Other names 1

• Alexis Dolor Davis Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• QC Psychology PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1073061131

  Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1649036773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112888",
            "telephone_number": "704-900-9143",
            "fax_number": "704-364-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112888",
            "telephone_number": "704-900-9143",
            "fax_number": "704-364-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALEXIS",
        "middle_name": "DOLOR",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "DAVIS",
            "middle_name": "DOLOR",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jajuana Demetrice Moonie
• Rachel E Moor, PA
• Moore Optometry, PLLC
• Jasmine Joanne Moore-Clark, LCSW
• Chelandra Shawnte Moore-Quarles, LPC
• Amanda Michelle Moore
• Amiya Moore
• Amy Vischetti Moore, PA-C
• Angela Moore, M.ED, BCBA
• Arl Van Moore Jr., M.D.

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.