Tamatha Lynne Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24167 Issued in SC

Practice address

35 Hospital Center CMNS Ste 101
Hilton Head, SC 29926-2846

Phone

(843) 682-4673

Fax

(843) 682-4666

NPI assigned

Oct 9, 2019

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamatha.moore.1@11111.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well Being Health Care, LLC

  • Primary Care Nurse Practitioner
  • Hilton Head Island, SC
  • NPI 1942947007
  Medicare reassignment NPD Authorized official
• Heart Associate of Hilton Head LLC

  • Cardiovascular Disease Physician
  • Hilton Head, SC
  • NPI 1104123835
  Medicare reassignment NPD
• Heart Associate of Hilton Head PC

  • Cardiovascular Disease Physician
  • Okatie, SC
  • NPI 1477845659
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1780226910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL CENTER CMNS STE 101",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262846",
            "telephone_number": "843-682-4673",
            "fax_number": "843-682-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL CENTER CMNS STE 101",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262846",
            "telephone_number": "843-682-4673",
            "fax_number": "843-682-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMATHA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Miller, RPH
• Katherine Ashleigh Miller, MS CCC, SLP
• Teajuani Latasha Mims
• Monarch Concierge MD
• Moore Consulting LLC
• Thomas Howard Morse, DDS
• Moss Creek Sport & Spine Institute LLC
• Moss Creek Sport & Spine Institute MRI, LLC
• Moss Creek Sport & Spine Institute Promp Care, LLC
• Emily Vanburen Mulcahy, PSY D

• Family Nurse Practitioner in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.