Individual provider Active NPI

Thayer Moor, M.D.

  • Family Medicine Physician
  • Homewood, AL
National Provider Identifier
1689933038
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34525 Issued in AL
Practice address
1 W Lakeshore Dr
Homewood, AL 35209-0500
Phone
(205) 930-2950
Fax
(205) 408-1229
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34525 AL Primary

Addresses

Primary practice location

1 W Lakeshore Dr
Homewood, AL 35209-0500

Mailing address

PO Box 530407
Birmingham, AL 35253-0407
Phone (205) 616-5421

Other practice location 1

840 Montclair Rd
Suite 122
Birmingham, AL 35213-1920
Phone (205) 592-5135

Other names 1

  • Thayer G. Moor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502001386 AL Practitioner - General Practice 6406090752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34525ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Help 280 LLC CurrentSince Mar 1, 2017 Accepting new patients
Baptist Health System, Inc. PastSince Apr 1, 1996 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1689933038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352530407",
            "telephone_number": "205-616-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-930-2950",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Montclair Rd",
            "address_2": "Suite 122",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131920",
            "country_code": "US",
            "telephone_number": "205-592-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOR",
        "first_name": "THAYER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "34525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAYER",
            "last_name": "MOOR",
            "middle_name": "G.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.