Individual provider Active NPI

Wayne E Moore, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Nashville, TN
National Provider Identifier
1821081472
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
26654 Issued in TN
Practice address
1818 Albion St
Metropolitan Nashville General Hospital Emergency Dept
Nashville, TN 37208-2918
Phone
(615) 341-4000
Fax
(615) 837-4514
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 26654 TN Primary
Hospitalist Physician 208M00000X 26654 TN

Addresses

Primary practice location

1818 Albion St
Metropolitan Nashville General Hospital Emergency Dept
Nashville, TN 37208-2918

Mailing address

916 Quail Valley Dr
Brentwood, TN 37027-5806
Phone (615) 566-6188

Other identifiers 2

IdentifierTypeStateIssuer
4090137OtherTNBCBS
3839393MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040105000288 TN Practitioner - Emergency Medicine 4183523608 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moore Life Healthcare, PCGroup PAC ID 7113228461, 4 clinicians

Practice addresses (Care Compare)

253 W Main St
Gallatin, TN 37066-3290
Phone (615) 461-8784

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26654TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robertson County Physical Medicine LLC CurrentSince Oct 26, 2012 Accepting new patients
Moore Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Moore Life Healthcare, PC CurrentSince Dec 19, 2013 Accepting new patients
Emergency Medicine Services of TN, PC CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Hospitalist CurrentSince Sep 2, 2016 Accepting new patients

Locations

9005 Overlook Blvd
Brentwood, TN 37027
Phone (615) 733-4651

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

253 W Main St
Gallatin, TN 37066
Phone (615) 254-9981

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

2308D Memorial Blvd
Springfield, TN 37172
Phone (615) 382-8144

2308 Memorial Blvd
#D
Springfield, TN 37172
Phone (615) 382-3067

Organizations & group practices 6

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1821081472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 QUAIL VALLEY DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275806",
            "telephone_number": "615-566-6188",
            "fax_number": "615-837-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 ALBION ST",
            "address_2": "METROPOLITAN NASHVILLE GENERAL HOSPITAL EMERGENCY DEPT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082918",
            "telephone_number": "615-341-4000",
            "fax_number": "615-837-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WAYNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "26654",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "26654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4090137",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3839393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.