CHELSEY MEGAN MOORE (NPI# 1568883320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568883320 |
| Entity Type | Individual |
| Full Name | CHELSEY MEGAN MOORE |
| Credential | MMSC, PA-C |
| Practice Address |
1718 E 4th St Ste 501 Charlotte NC 28204 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043439800 |
| Practice Fax Number | 7043472011 |
| Mailing Telephone | 7043439800 |
| Mailing Fax Number | 7043472011 |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Duke University Hospital, 2301 Erwin Rd Box 3458, Durham, NC 277100001 | 9196814068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095422 | Chelsey Shannon Moore | Behavioral Analyst | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2018-02-28 |
| 1235440777 | Chelsey Moore | Optometrist | 2020 W Iles Ave, Springfield, IL 62704-7015 | 2010-06-30 |
| 1225265374 | Chelsey Rae Moore | Social Worker | 316 2nd Ave W, Williston, ND 58801-5218 | 2009-06-16 |
| Street Address |
1718 E 4TH ST STE 501 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600201 | David Beard | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2005-06-22 |
| 1215584784 | Meagan Ann Tremblay | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2019-08-20 |
| 1952894792 | Jennifer Erin Singleton | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2018-06-06 |
| 1194184523 | Juliana Efua Quagraine | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2016-02-12 |
| 1679992416 | Oktay Feridun Rifki | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2014-04-09 |
| 1982036356 | Sophia Abimbola Mitchell | Physician Assistant | 1718 E 4th St Ste 501, Charlotte, NC 28204 | 2013-08-07 |
| 1366706111 | Hakeem Ayinde | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2012-06-26 |
| 1982960746 | Daniel Ke Pu | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2012-04-05 |
| 1376863910 | Thomas Ryan Kambur | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2010-06-06 |
| 1760687552 | Gordon Reginald Reeves | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.