Individual provider Active NPI

Philip C Moore, MD

  • Anesthesiology Physician
  • Florence, SC
National Provider Identifier
1699793075
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27707 Issued in SC
Practice address
805 Pamplico Hwy
Florence, SC 29505-6019
Phone
(843) 664-3301
Fax
(843) 664-3723
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2019-02945 NC
Anesthesiology Physician 207L00000X 27707 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6019

Mailing address

PO Box 198
Wichita, KS 67201-0198
Phone (316) 685-6091

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-6700

Other identifiers 1

IdentifierTypeStateIssuer
277079MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031125000006 GA Practitioner - Anesthesiology 5496659211 Reassigns benefits to 3 organizations
I20050516000606 SC Practitioner - Anesthesiology 5496659211 Reassigns benefits to 3 organizations
I20250926001351 NC Practitioner - Anesthesiology 5496659211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Practice addresses (Care Compare)

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7000

Hospital & facility affiliations

  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-02945NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Mar 26, 2025 Accepting new patients
Anesthesiology Consultants of Florence Anesthesiology Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1699793075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010198",
            "telephone_number": "316-685-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-3301",
            "fax_number": "843-664-3723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PHILIP",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2019-02945",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "27707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.