Moore Street Pulmonary Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOORE STREET PULMONARY CLINIC, PLLC

Practice address

439 Moore St
Fayetteville, NC 28301-4863

Phone

(910) 257-4371

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Rose Mary Graham, ACNP-BC

Title

Nurse Practitioner

Phone

(910) 257-4371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1881409076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MOORE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014863",
            "telephone_number": "910-257-4371",
            "fax_number": "910-257-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MOORE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014863",
            "telephone_number": "910-257-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE STREET PULMONARY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "910-257-4371",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chade Montgomery, PA-C
• Karissa Lynn Montgomery, RCP, RRT
• Brody Daniel Montoya, DO
• Megan Nikole Mooney
• Michele A. Mooney, BCBA
• Doris Ann Moore-Russell, LCSW
• Alicia Shereese Moore, LCAS-A
• Angela Ellen Moore, LCMHCS
• Angelica Dena Moore
• Ashli Moore

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.