Clayton Moore (NPI# 1073938577, PAC ID# 6204198120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073938577 |
| PAC ID by PECOS | 6204198120 |
| Professional Enrollment ID | I20180313000442 |
| Full Name | Clayton Moore |
| Organization Legal Name | OUTERBANKS PROFESSIONAL SERVICES LLC |
| Address |
5565 N Croatan Hwy Southern Shores NC 27949-4090 |
| Phone Number | 2524497474 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173652096 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4923 S Croatan Hwy, Nags Head, NC 27959-9709 | 2522618040 | OUTERBANKS PROFESSIONAL SERVICES LLC |
| 4923s Croatan Hwy, Nags Head, NC 27959-9709 | 2522618040 | OUTERBANKS PROFESSIONAL SERVICES LLC |
| 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 | 2524497474 | OUTERBANKS PROFESSIONAL SERVICES LLC |
| Organization Legal Name | OUTERBANKS PROFESSIONAL SERVICES LLC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Holcomb Summerton | Nurse Practitioner | Outerbanks Professional Services LLC | 5120 N Croatan Hwy, Kitty Hawk, NC 27949 |
| Krista J Follmer | Qualified Audiologist | Outerbanks Professional Services LLC | 5118 N Croatan Hwy, Kitty Hawk, NC 27949 |
| Amanda J Williams | Nurse Practitioner | Outerbanks Professional Services LLC | 4923 S Croatan Hwy, Nags Head, NC 27959-9709 |
| Marielle M Silk | Nurse Practitioner | Outerbanks Professional Services LLC | 4923s Croatan Hwy, Nags Head, NC 27959-9709 |
| Joseph T Jenkins | General Surgery | Outerbanks Professional Services LLC | 4810 S Croatan Hwy, Suite 250, Nags Head, NC 27959 |
| Joseph A Hodges Jr. | Family Medicine | Outerbanks Professional Services LLC | 40894 Nc Hwy, Avon, NC 27915-9998 |
| Walter L Holton | Family Practice | Outerbanks Professional Services LLC | 604 Amanda St, Manteo, NC 27954-9039 |
| Anne Marie Smith | Nurse Practitioner | Outerbanks Professional Services LLC | 3102 N Croatan Hwy, Kill Devil Hills, NC 27948 |
| Amanda C Austin | Family Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Roy J Peters | Internal Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Street Address |
5565 N CROATAN HWY |
| City | SOUTHERN SHORES |
| State | NC |
| Zip | 27949-4090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda C Austin | Family Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Roy J Peters | Internal Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Anna B Ward | Physician Assistant | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Kelly A Glisson | Nurse Practitioner | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Kelly E Harness | Nurse Practitioner | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Gregory Biernacki | Family Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Jeri D Griggs | Nurse Practitioner | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Christopher Scott Handron | Physician Assistant | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Rajasekhar Katuru | Internal Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| William C Guenther Jr. | Medical Oncology | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Holcomb Summerton | Nurse Practitioner | Outerbanks Professional Services LLC | 5120 N Croatan Hwy, Kitty Hawk, NC 27949 |
| Krista J Follmer | Qualified Audiologist | Outerbanks Professional Services LLC | 5118 N Croatan Hwy, Kitty Hawk, NC 27949 |
| Casey Titus | Chiropractic | 1 Ocean Blvd, Suite 104, Southern Shores, NC 27949-3616 | |
| Heidi L Francis | Physical Therapy | Seaside Physical Therapy LLC | 6365 N Croatan Hwy C, Kitty Hawk, NC 27949-3800 |
| Ellen E Dejong | Physical Therapy | Seaside Physical Therapy LLC | 6365 N Croatan Hwy C, Kitty Hawk, NC 27949-3800 |
| Amy Marie Dougherty | Physical Therapy | 6365 N Croatan Hwy, Suite C, Kitty Hawk, NC 27949-3884 | |
| Luke C Kohan | Internal Medicine | Sentara Medical Group | 5136n Croatan Hwy, Kitty Hawk, NC 27949-3988 |
| James Spencer Wilkinson | Family Medicine | Beach Medical Care, Ltd. | 5200 N Croatan Hwy, Kitty Hawk, NC 27949-3990 |
| Linda A Heffernan-stroud | Dermatology | Tidewater Skin Care and Pathology PC | 5589 N Croatan Hwy, Kitty Hawk, NC 27949-3996 |
| Daniel L Jones | Optometry | 5569 N Croatan Hwy, Kitty Hawk, NC 27949-3996 | |
| Find all physicians in zip 27949 | |||
| City | SOUTHERN SHORES |
| Zip Code | 27949 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTHERN SHORES + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clayton 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.