Carson Moore LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CARSON MOORE LLC

Practice address

316 Village Creek Dr
Boiling Springs, SC 29316-5387

Phone

(843) 324-7575

NPI assigned

Apr 15, 2026

Organization subpart

No

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

Authorized official

Name

David Carson Moore, PA-CNPI 1942859483

Title

Owner

Phone

(843) 324-7575

Specialties & licenses 1

Addresses

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.

• David Carson Moore

  • Medical Physician Assistant
  • Boiling Springs, SC
  • NPI 1942859483
  NPD Authorized official

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1841134483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 VILLAGE CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165387",
            "telephone_number": "843-324-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 VILLAGE CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165387",
            "telephone_number": "843-324-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON MOORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-324-7575",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Lenore Ruppert Carroll, MD
• Matthew Robert Carter, PA-C
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• Tiffany Cherice Chapman, DC
• Charles B. Hanna, Jr., D.M.D.
• June Childers

• Physician Assistant in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.