Mary P Moore (NPI# 1861672347, PAC ID# 6901971688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1861672347 |
| PAC ID by PECOS | 6901971688 |
| Professional Enrollment ID | I20080814000227 |
| Full Name | Mary P Moore |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
280 Broad St E Kernersville NC 27284-2948 |
| Phone Number | 3362776050 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 280 Broad St E, Kernersville, NC 27284-2948 | 3362776050 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
280 BROAD ST E |
| City | KERNERSVILLE |
| State | NC |
| Zip | 27284-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon E Englehorn | Clinical Social Worker | Novant Medical Group Inc | 280 Broad St E, Kernersville, NC 27284-2948 |
| Tiffany Nichole Floyd | Clinical Social Worker | Novant Medical Group Inc | 280 Broad St E, Kernersville, NC 27284-2948 |
| Shaji J Puthuvel | Psychiatry | Novant Medical Group Inc | 280 Broad St E, Kernersville, NC 27284-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Kelly | Family Medicine | 420 W Mountain St, Kernersville, NC 27284-2534 | |
| Matthew C Mcintyre | Chiropractic | 432 A W Mountain St, Kernersville, NC 27284-2534 | |
| Joann Marie Governale | Clinical Social Worker | 110 Hepler St, Suite B, Kernersville, NC 27284-2793 | |
| Darian J Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Darian L Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Adam D Meylor | Chiropractic | 205 N Cherry St, Kernersville, NC 27284-2825 | |
| Tiffany S Gibson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Shauna Jarrett | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Alexei Radiontchenko | Family Medicine | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Bilal Muzaffar | Rheumatology | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Find all physicians in zip 27284 | |||
| City | KERNERSVILLE |
| Zip Code | 27284 |
| Specialty | PSYCHIATRY |
| City + Specialty | KERNERSVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Mary P 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.