Active NPI
Lynnette Moore, M.D.
- Family Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101054405
- Practice address
- 7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700 - Phone
- (757) 330-0150
- Fax
- (877) 487-3044
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101054405 | VA | Primary |
Addresses
Primary practice location
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Mailing address
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Phone (757) 330-0150
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynnette.moore.1@29601.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131120001043 | VA | Practitioner - Family Practice | 9537306444 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Medical Group Hampton Roads Primary Care LLCCenterwell Senior Primary Care VA PLLC
Practice addresses (Care Compare)
102 Fairview Dr
Franklin, VA 23851-1206
3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225
7525 Tidewater Dr
Suite 19
Norfolk, VA 23505-3700
Phone (757) 330-0150
Hospital & facility affiliations
- Bon Secours Southampton Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054405 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care VA PLLC | Family Medicine | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Primary Care LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care VA PLLC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care VA PLLC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care VA PLLC | Family Medicine | Past | Accepting new patients |
| Centerwell Senior Primary Care VA PLLC | Family Medicine | Past | Accepting new patients |
Locations
4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837
7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150
3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225
8191 Brook Rd
Ste Mn
Richmond, VA 23227
Phone (804) 596-5320
4421 Virginia Beach Blvd
Ste 114
Virginia Beach, VA 23462
Phone (757) 738-1300
828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797
Interoperability endpoints
- lynnette.moore.1@29601.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1528627379
VA
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1568162808
Family Medicine, VA
-
- Internal Medicine Physician
- Newport News, VA
- NPI 1588438592
Family Medicine
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1700586047
Family Medicine
-
- Internal Medicine Physician
- Hampton, VA
- NPI 1144920497
Family Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1346940657
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1669535951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR STE 19",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-330-0150",
"fax_number": "877-487-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR STE 19",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-330-0150",
"fax_number": "877-487-3044"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LYNNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101054405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lynnette.moore.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7525 Tidewater Dr Ste 19",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235053700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.