Active NPI
Clearwater Health DPC, PLLC
- Diabetology (Family Medicine) Physician
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetology (Family Medicine) Physician
- Legal business name
- CLEARWATER HEALTH DPC, PLLC
- Practice address
- 1440 Chapel Ridge Rd Ste 110
Apex, NC 27502-8633 - Phone
- (910) 586-1960
- Fax
- (910) 226-0957
- NPI assigned
- Feb 20, 2026
- Last updated
- Feb 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanner Moore, MD
- Title
- Medical Director
- Phone
- (304) 672-3225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetology (Family Medicine) Physician | 207QD0401X | NU | Primary |
Addresses
Primary practice location
1440 Chapel Ridge Rd Ste 110
Apex, NC 27502-8633
Mailing address
322 Shady LN
Cameron, NC 28326-7440
Phone (304) 672-3225
Other practice location 1
2979 Crouse Ln
Burlington, NC 27215-8833
Phone (336) 228-9759
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2294539 | Clearwater Health DPC | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1440 Chapel Ridge Rd
Ste 110
Apex, NC 27502
Phone (910) 586-1960
2979 Crouse Ln
Burlington, NC 27215
Phone (336) 228-9759
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Fort Benning, GA
- NPI 1467972935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1720931439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 SHADY LN",
"city": "CAMERON",
"state": "NC",
"postal_code": "283267440",
"telephone_number": "304-672-3225",
"fax_number": "910-226-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 CHAPEL RIDGE RD STE 110",
"city": "APEX",
"state": "NC",
"postal_code": "275028633",
"telephone_number": "910-586-1960",
"fax_number": "910-226-0957"
}
],
"practiceLocations": [
{
"address_1": "2979 Crouse Ln",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272158833",
"country_code": "US",
"telephone_number": "336-228-9759",
"fax_number": "910-226-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLEARWATER HEALTH DPC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TANNER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "304-672-3225",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QD0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Diabetology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.