NPIMap

Individual provider Active NPI

Gregory P Moore II, M.D.

  • Gynecology Physician
  • Richmond, VA
National Provider Identifier
1881672699
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101050166 Issued in VA
Practice address
7101 Jahnke Rd
Suite 280
Richmond, VA 23225-4017
Phone
(804) 272-5508
Fax
(804) 323-7564
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101050166 VA Primary
Obstetrics Physician 207VX0000X 0101050166 VA

Addresses

Primary practice location

7101 Jahnke Rd
Suite 280
Richmond, VA 23225-4017

Mailing address

301 Virginia St
Unit 1101
Richmond, VA 23219-4145
Phone (804) 389-5000

Other identifiers 1

IdentifierTypeStateIssuer
006215572MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520001055 VA Practitioner - Obstetrics/Gynecology 4587650460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1501 Maple Ave
Richmond, VA 23226-2553

1510 N 28TH St
Richmond, VA 23223-5311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050166VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Sep 1, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 22, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 22, 2022 Accepting new patients
Obhg Virginia, LLC CurrentSince Jun 1, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 1, 2022 Accepting new patients
Elite Gynecology and Wellness LLC PastSince Aug 9, 2022 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 401
Fredericksburg, VA 22401
Phone (540) 899-5864

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

7101 Jahnke Rd
#280
Richmond, VA 23225
Phone (804) 272-5508

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7101 Jahnke Rd
Ste 280
Richmond, VA 23225
Phone (804) 272-5508

9755 Courthouse Rd
Ste 104
Spotsylvania, VA 22553
Phone (540) 374-7020

Interoperability endpoints

  • Direct secure messaging: gregory.moore.1@8042.direct.athenahealth.com
  • Direct secure messaging: gpmooremd@jrogp-va.direct.office.nextgen.com
  • Direct secure messaging: gmoore1153931@direct.bsmhealth.org

Organizations & group practices 6

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1881672699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VIRGINIA ST",
            "address_2": "UNIT 1101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194145",
            "telephone_number": "804-389-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "address_2": "SUITE 280",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-272-5508",
            "fax_number": "804-323-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101050166",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0101050166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006215572",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.