Individual provider Active NPI

Christian Kainoa Moore, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1861132763
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
88038 Issued in SC
Practice address
4540 Trenholm Rd
Columbia, SC 29206-4462
Phone
(803) 790-4700
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 88038 SC Primary

Addresses

Primary practice location

4540 Trenholm Rd
Columbia, SC 29206-4462

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2203

Other practice location 1

2 Medical Park Rd
Columbia, SC 29203-6808
Phone (803) 545-5321

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmmore193694@direct.lexmed.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251012000029 SC Practitioner - Internal Medicine 7911388798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

5115 Forest Dr
Suite 200
Columbia, SC 29206-4934
Phone (803) 744-4900

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine PastSince Apr 1, 2022 Accepting new patients

Locations

5115 Forest Dr
Ste 200
Columbia, SC 29206

4540 Trenholm Rd
Columbia, SC 29206
Phone (803) 254-3501

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: cmmore193694@direct.lexmed.com

Organizations & group practices 5

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 1

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1861132763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-791-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 TRENHOLM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064462",
            "telephone_number": "803-790-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036808",
            "country_code": "US",
            "telephone_number": "803-545-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTIAN",
        "middle_name": "KAINOA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "88038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmmore193694@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "4540 Trenholm Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292064462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.