Johnny Moyer, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014809 Issued in NC

Practice address

341A Whiteville Rd NW
Shallotte, NC 28470-4507

Phone

(910) 567-6194

Fax

(910) 567-5661

NPI assigned

Jan 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFDBCA

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.

• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment NPD
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Four Oaks, NC
  • NPI 1427087709
  Medicare reassignment NPD
• San Fernando Community Hospital

  • Primary Care Clinic/Center
  • San Fernando, CA
  • NPI 1245669555
  Medicare reassignment
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wallace, NC
  • NPI 1912022369
  NPD
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Shallotte, NC
  • NPI 1003218439
  NPD
• Tri County Community Health Council Inc

  • Adult Mental Health Clinic/Center
  • Dunn, NC
  • NPI 1790270999
  NPD
• San Fernando Community Health Center

  • Clinic/Center
  • San Fernando, CA
  • NPI 1093151821
  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1962825000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275240340",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341A WHITEVILLE RD NW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704507",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Eastwood Dr",
            "address_purpose": "LOCATION",
            "city": "Wallace",
            "state": "NC",
            "postal_code": "284669201",
            "country_code": "US",
            "telephone_number": "910-285-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20800 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "CA",
            "postal_code": "913062707",
            "country_code": "US",
            "telephone_number": "818-883-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Mott St Ste 100-110",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913404237",
            "country_code": "US",
            "telephone_number": "818-963-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JOHNNY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaughn Moore, PT, DPT
• James Brian Morosky, D.C.
• Morris and Carmichael 1 DDS PLLC
• Cammie Thompson Morris, DDS
• Christopher J Moshoures, O.D.
• Borislav Margaritov Mravkov, M.D.
• Nancy Lee Murdock, DNP FNP-BC
• Kathleen Murphy, PA-C
• Francesca Madeline Muscatello, LCASA
• Jean Oliver Myers, PT

• Family Nurse Practitioner in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.