Active NPI
Robert Gene Moore, MD
- Urology Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2012-02376
- Practice address
- 911 W Henderson St Ste 110
Salisbury, NC 28144-2700 - Phone
- (704) 633-9441
- Fax
- (704) 637-9006
- NPI assigned
- Mar 24, 2006
- Last updated
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | H4841 | TX | |
| Urology Physician | 208800000X | 2012-02376 | NC | Primary |
Addresses
Primary practice location
911 W Henderson St Ste 110
Salisbury, NC 28144-2700
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039416504 | Medicaid | TX | |
| H4841 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmoore747362@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in Shreveport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
911 W Henderson St
Suite 120
Salisbury, NC 28144-2700
Phone (704) 637-9006
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-02376 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salisbury Urological Clinic, PA | Urology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Urology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Piedmont Stone Center PLLC | Urology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Baylor College of Medicine | Urology | Past | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
911 W Henderson St
Ste 110
Salisbury, NC 28144
Phone (704) 633-9441
911 W Henderson St
Ste 120
Salisbury, NC 28144
Phone (704) 637-1779
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
1907 S Hawthorne Rd
Winston Salem, NC 27103
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- rmoore747362@direct.novanthealth.org
Organizations & group practices 8
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Salisbury Urology
- Urology Physician
- Salisbury, NC
- NPI 1275918138
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Urology Physician
- Salisbury, NC
- NPI 1023091691
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba Scott Department of Urology
- Urology Physician
- Houston, TX
- NPI 1114944733
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Rowan Medical Center
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
-
dba Atrium Health Cabarrus
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
dba Atrium Health Cabarrus Inpatient Psych Unit
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1982664900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W HENDERSON ST STE 110",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442700",
"telephone_number": "704-633-9441",
"fax_number": "704-637-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ROBERT",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "H4841",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2012-02376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039416504",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "H4841",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmoore747362@direct.novanthealth.org",
"affiliation": "N",
"address_1": "911 W Henderson St Ste 110",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281442700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
- Helen Miller Moore, PA
- Irvin F. Moore Jr., MS
- Janelle Moore, OTR
- Laura Moore, PHARM.D.
- Patricia M Moore, MD
- Sylvia Pope Moore, M.A., CCC-SLP
- Taylor Moore
- Valerie Lynn Moore, MD
- Moose Pharmacy of Salisbury (Moose Pharmacy of Salisbury Long-Term Care)
- Moose Pharmacy of Salisbury LLC (Moose Pharmacy of Salisbury)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.