DAVID CARSON MOORE NPI 1942859483

NPI Information

  • NPI: 1942859483
  • Provider Name: DAVID CARSON MOORE
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 316 VILLAGE CREEK DR
    BOILING SPRINGS, SC
    ZIP 29316
  • Phone: (864) 327-9003

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NPI Details

David Carson Moore is a medical physician assistant in Boiling Springs, SC. David Carson Moore NPI is 1942859483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

316 VILLAGE CREEK DR
BOILING SPRINGS, SC
ZIP 29316-387
Phone: (864) 327-9003

The NPI 1942859483 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.

  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 9/7/2019 and was last updated on 1/30/2023.

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
1207QA0000XFamily MedicineAdolescent MedicineMPA3438SOUTH CAROLINANo
2208000000XPediatricsMPA3438SOUTH CAROLINANo
32080A0000XPediatricsAdolescent MedicineMPA3438SOUTH CAROLINANo
4363A00000XPhysician AssistantNo
5363AM0700XPhysician AssistantMedicalYes

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
14061PAMEDICAIDSOUTH CAROLINA
2SCG971J6067OTHERSOUTH CAROLINAMEDICARE PIN
3SCG9716084OTHERSOUTH CAROLINAMEDICARE PIN
4SCG971J577OTHERSOUTH CAROLINAMEDICARE PIN

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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