Individual provider Active NPI

Christopher Moody, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1760072474
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014015 Issued in NC
Practice address
1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone
(910) 343-9800
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014015 NC Primary

Addresses

Primary practice location

1302 Medical Center Dr
Wilmington, NC 28401-7503

Mailing address

1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210325001678 NC Practitioner - Nurse Practitioner 7517374267 Reassigns benefits to 1 organization
I20220514000278 SC Practitioner - Nurse Practitioner 7517374267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

2021 N Myrtle Point Blvd
Suite 106
North Myrtle Beach, SC 29582-2224
Phone (843) 663-1401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014015NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

2021 N Myrtle Point Blvd
Ste 106
North Myrtle Beach, SC 29582
Phone (843) 663-1401

Interoperability endpoints

  • Direct secure messaging: cmoody891474@direct.novanthealth.org
  • Direct secure messaging: cmoody28276@direct.acumenmd.com

Organizations & group practices 1

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 10

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1760072474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.