Individual provider Active NPI

Emily Dawn Moore, CRNP

  • Acute Care Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1871001412
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-123706 Issued in AL
Practice address
1215 7TH St SE
Decatur, AL 35601-3304
Phone
(256) 973-4885
Fax
(256) 973-4805
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-123706 AL Primary

Addresses

Primary practice location

1215 7TH St SE
Decatur, AL 35601-3304

Mailing address

1401 Byrd Rd SE
Hartselle, AL 35640-5940
Phone (256) 566-4097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20180810001510 AL Practitioner - Nurse Practitioner 3072861863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Neurology Associates,PCGroup PAC ID 2668413451, 4 clinicians

Practice addresses (Care Compare)

1809 Kress St
Cullman, AL 35058-1565
Phone (256) 739-1210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Neurology Associates, PC CurrentSince Sep 15, 2025 Accepting new patients
Decatur Neurology, PC PastSince Aug 19, 1995 Accepting new patients

Locations

1809 Kress St
Cullman, AL 35058
Phone (256) 739-1210

Interoperability endpoints

  • Direct secure messaging: emily.moore.northcentralneurology@ncn.direct.systemedx.com

Organizations & group practices 2

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.

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1871001412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BYRD RD SE",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356405940",
            "telephone_number": "256-566-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013304",
            "telephone_number": "256-973-4885",
            "fax_number": "256-973-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-123706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.