Individual provider Active NPI

Gregory Charles Moran, MD

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1871606780
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0290 Issued in TX
Practice address
4333 N Josey LN
# 302
Carrollton, TX 75010-4629
Phone
(972) 394-8844
Fax
(972) 492-0148
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0290 TX Primary
Specialist 174400000X MD00040815 WA

Addresses

Primary practice location

4333 N Josey LN
# 302
Carrollton, TX 75010-4629

Mailing address

4333 N Josey LN
# 302
Carrollton, TX 75010-4629
Phone (972) 394-8844

Other identifiers 1

IdentifierTypeStateIssuer
8294852MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120105000904 TX Practitioner - Family Practice 4981776911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Associates of TexasGroup PAC ID 7214230341, 9 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 302
Carrollton, TX 75010-4632
Phone (469) 568-4223

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions36
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040815WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of Texas Family Medicine CurrentSince Jan 6, 2016 Accepting new patients

Locations

4333 N Josey Ln
Ste 302
Carrollton, TX 75010
Phone (469) 568-4223

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29027/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gregory.moran.1@29027.direct.athenahealth.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 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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1871606780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "# 302",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-394-8844",
            "fax_number": "972-492-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "# 302",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-394-8844",
            "fax_number": "972-492-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0290",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00040815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8294852",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.