Alexander Gray Moore (NPI# 1447727987, PAC ID# 1951647882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447727987 |
| PAC ID by PECOS | 1951647882 |
| Professional Enrollment ID | I20190114000997 |
| Full Name | Alexander Gray Moore |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Address |
103 N St A Bristol VA 24201-3201 |
| Phone Number | 4238445300 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123291739 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4238441121 | WELLMONT MEDICAL ASSOCIATES INC |
| 103 N St, A, Bristol, VA 24201-3201 | 4238445300 | WELLMONT MEDICAL ASSOCIATES INC |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Davis | Nurse Practitioner | Wellmont Medical Associates Inc | 2202 N John B Dennis Hwy, Kingsport, TN 37660-5904 |
| Crystal L Stiltner | Family Medicine | Wellmont Medical Associates Inc | 405 Scenic Dr, Suite B, Rogersville, TN 37857-2441 |
| April A Wallace | Nurse Practitioner | Wellmont Medical Associates Inc | 671 Hwy 58 E, Norton, VA 24273-3007 |
| Jared Charles Abel | Nurse Practitioner | Wellmont Medical Associates Inc | 410 Stagecoach Rd, Bristol, VA 24201-8359 |
| Pamela Kelli Lane | Nurse Practitioner | Wellmont Medical Associates Inc | 2830 Hwy 394, Suite 4, Blountville, TN 37617-5577 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Keressa L Clark | Nurse Practitioner | Wellmont Medical Associates Inc | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 |
| Kayla J Joyce | Nurse Practitioner | Wellmont Medical Associates Inc | 115 Judge Gresham Rd, Gray, TN 37615-6213 |
| Morgan Cabell | Nurse Practitioner | Wellmont Medical Associates Inc | 2686 W State St, Bristol, TN 37620-1817 |
| Kevin Hudson | Physician Assistant | Wellmont Medical Associates Inc | 410 N State of Franklin Rd, Suite 140, Johnson City, TN 37604-6035 |
| Street Address |
103 N ST A |
| City | BRISTOL |
| State | VA |
| Zip | 24201-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary A Hammons | Family Medicine | Wellmont Medical Associates Inc | 103 N St, A, Bristol, VA 24201-3201 |
| Holly V Williams | Nurse Practitioner | Wellmont Medical Associates Inc | 103 N St, A, Bristol, VA 24201-3201 |
| Katey S Morrell | Nurse Practitioner | Wellmont Medical Associates Inc | 103 N St, Bristol, VA 24201-3201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl Allen Jr. | Chiropractic | 1932 Lee Hwy, Bristol, VA 24201-1624 | |
| Jayne E Miller Fritz | Qualified Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Lisa M Brooks | Qualified Speech Language Pathologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Shea K Bartz | Speech Language Pathologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Christine Powers | Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Kelly D Dixon | Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Mary R Mcnees | Nurse Practitioner | Integrated Health Transitions Pllc | 245 N St, Bristol, VA 24201-3274 |
| Gina M Bentley | Nurse Practitioner | Integrated Health Transitions Pllc | 245 N St, Bristol, VA 24201-3274 |
| Melissa Venoy | Nurse Practitioner | Integrated Health Transitions Pllc | 245 N St, Bristol, VA 24201-3274 |
| Brandon H Gillenwater | Chiropractic | 719 Commonwealth Ave, Suite 3, Bristol, VA 24201-3300 | |
| Find all physicians in zip 24201 | |||
| City | BRISTOL |
| Zip Code | 24201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRISTOL + NURSE PRACTITIONER |
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| 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.