Charles a Moore

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHARLES A MOORE

Practice address

123 N 19TH St
Suite 201
Middlesboro, KY 40965-2865

Phone

(606) 248-7630

Fax

(606) 248-8803

NPI assigned

Nov 5, 2007

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles A Moore, MDNPI 1003816372

Title

Owner

Phone

(606) 248-0090

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles A Moore, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1003816372
  NPD Authorized official
• Marcinia Michelle Bailey, APRN

  • Family Nurse Practitioner
  • Middlesboro, KY
  • NPI 1548673155
  NPD (past)
• Lynda Lynn Browning, ANP

  • Adult Health Nurse Practitioner
  • Middlesboro, KY
  • NPI 1083996532
  NPD (past)
• Julia Blocker, ARNP

  • Family Nurse Practitioner
  • Tazewell, TN
  • NPI 1366442782
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1659551935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650309",
            "telephone_number": "606-248-7630",
            "fax_number": "606-248-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST",
            "address_2": "SUITE 201",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652865",
            "telephone_number": "606-248-7630",
            "fax_number": "606-248-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-248-0090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Madison Carter, PA-C
• Pamela Cavins, NP-C
• Champion Physical Therapy Kentucky, LLC (CORA Physical Therapy - Middlesboro)
• Champion Physical Therapy Kentucky, LLC (CORA Physical Therapy - Middlesboro)
• Leigh Ann Michelle Chappell, MA, CCC/SLP
• City of Middlesboro (Middlesboro Fire Department Ambulance)
• Comprehensive Home Health Care Services, Inc. (Bell County Adult Day Care)
• Comprehensive Home Healthcare Services LLC (Amedisys Home Health Care)
• Comprehensive Hospitalist Services of Kentucky LLC
• Cornerstone Christian Counseling

• Clinic/Center in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.