SAMANTHA MOORE MD
NPI 1023710894
Student in an Organized Health Care Education/Training Program in Summerville, SC

Q: What is Samantha Moore's NPI number?

The NPI number for Samantha Moore is 1023710894. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is Samantha Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Moore was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2023PECOS Enrolled

295 MIDLAND PKWY, MEDICAL OFFICE BUILDING STE. 140, SUMMERVILLE, SC 29485(843) 998-1222 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Mar 17, 2023 (2 updates tracked since 2023).

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About Samantha Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MOORE MD (NPI 1023710894) is an individual student in an organized health care education/training program in Summerville, South Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023710894

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA MOORECredential: MD

Location Address295 MIDLAND PKWY, MEDICAL OFFICE BUILDING STE. 140Summerville, SC 29485

Mailing Address9330 Medical Plaza DrNorth Charleston, SC 29406-9104 · (843) 998-1222

Phone(843) 998-1222

Sole ProprietorNo

Enumeration DateMarch 17, 2023

Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1023710894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

295 MIDLAND PKWY, Summerville, SC 29485

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Moore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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