Active NPI
Casi Lynn Mooring, P.A.-C
- Physician Assistant
- Greenville, NC
National Provider Identifier
1669795977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02221
- Practice address
- 2430 Emerald PL Ste 201
Greenville, NC 27834-5743 - Phone
- (252) 752-2140
- NPI assigned
- Mar 2, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-02221 | NC | Primary |
Addresses
Primary practice location
2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Mailing address
2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-02221 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boice-Willis Clinic, PA | Current | Accepting new patients | |
| Boice-Willis Clinic PA | Current | Accepting new patients |
Locations
901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200
Interoperability endpoints
- cmooring64633@direct.acumenmd.com
- cmooring21697@carolinaeastmc.direct-ci.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Greenville, NC
- NPI 1417083783
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1699722389
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Physical Therapy Clinic/Center
- Rocky Mount, NC
- NPI 1952557241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1669795977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 EMERALD PL STE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345743",
"telephone_number": "252-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 EMERALD PL STE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345743",
"telephone_number": "252-752-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORING",
"first_name": "CASI",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.