Justin Mark Moore (NPI# 1013178110, PAC ID# 1951590611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013178110 |
| PAC ID by PECOS | 1951590611 |
| Professional Enrollment ID | I20110111000587 |
| Full Name | Justin Mark Moore |
| Organization Legal Name | ANMED HEALTH |
| Address |
4120 Hwy 24 Anderson SC 29626-5321 |
| Phone Number | 8642244003 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951215243 |
| Number of Group Practice Members | 253 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420027 | ANMED HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4120 Hwy 24, Anderson, SC 29626-5321 | 8642244003 | ANMED HEALTH |
| Organization Legal Name | ANMED HEALTH |
| Physicians | 269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lazedra Monah Myisha Johnson | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Lauren R Broberg | Physician Assistant | Anmed Health | 160 Perpetual Sq, Anderson, SC 29621-1713 |
| Nicole Megan Portela | Nurse Practitioner | Anmed Health | 703 N Fant St, Anderson, SC 29621-1580 |
| Julie Brown Weathers | Physical Therapy | Anmed Health | 127 Walmart Dr, Hartwell, GA 30643-8435 |
| Vipin Verma | Internal Medicine | Anmed Health | 105 Buford Ave, Anderson, SC 29621-3313 |
| David W Finney | Family Medicine | Anmed Health | 895 Tiger Blvd, Clemson, SC 29631-1480 |
| Jessica G Bolden | Nurse Practitioner | Anmed Health | 109 Montgomery Dr, Anderson, SC 29621-3333 |
| Caitlin E Collier | Family Medicine | Anmed Health | 28 Chandler Ctr, Hartwell, GA 30643-7914 |
| Thomas J Way | Otolaryngology | Anmed Health | 1655 E Greenville St A, Anderson, SC 29621-2062 |
| James Williams | Family Medicine | Anmed Health | 16 Roberts Blvd, Williamston, SC 29697-1136 |
| Street Address |
4120 HWY 24 |
| City | ANDERSON |
| State | SC |
| Zip | 29626-5321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill I Spencer | Family Medicine | Anmed Health | 4120 Hwy 24, Anderson, SC 29626-5321 |
| Elizabeth Raynor | Nurse Practitioner | Anmed Health | 4120 Hwy 24, Anderson, SC 29626-5321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott W Eiselt | Physical Therapy | 1 Bib Way, Anderson, SC 29626-6047 |
| City | ANDERSON |
| Zip Code | 29626 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANDERSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justin Mark Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.