MARK TILLMAN MOORE M.D. NPI 1427086156

NPI Information

  • NPI: 1427086156
  • Provider Name: MARK TILLMAN MOORE, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 890 W FARIS RD
    SUITE 330
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 233-1112

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NPI Details

Mark Tillman Moore, M.D. is an obstetrics gynecology in Greenville, SC with 38 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mark Tillman Moore, M.D. NPI is 1427086156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

890 W FARIS RD
SUITE 330
GREENVILLE, SC
ZIP 29605-247
Phone: (864) 233-1112

The NPI 1427086156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology15206SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14602405OTHERSOUTH CAROLINAAETNA
257-1004971032OTHERSOUTH CAROLINABCBS OF SC
3E83966MEDICARE UPINSOUTH CAROLINA
41569106OTHERSOUTH CAROLINACIGNA
5P00713069OTHERSOUTH CAROLINARR MEDICARE
6152069MEDICAIDSOUTH CAROLINA
7E839667951MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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