MR. JAMES MOORE P.A.
NPI 1053302059
Physician Assistant - Surgical in Melbourne Beach, FL

Q: What is James Moore's NPI number?

The NPI number for James Moore is 1053302059. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is James Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for James Moore was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2005

310 AMBERJACK PL, MELBOURNE BEACH, FL 32951(321) 684-1193 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

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About Mr. James Moore P.a. NPPES

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

MR. JAMES MOORE P.A. (NPI 1053302059) is an individual surgical provider in Melbourne Beach, Florida, licensed in Florida (PA9103288) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1053302059

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JAMES MOORECredential: P.A.

Location Address310 AMBERJACK PLMelbourne Beach, FL 32951-2906

Mailing AddressPo Box 510764Melbourne Beach, FL 32951-0764 · (321) 684-1193

Phone(321) 684-1193

Sole ProprietorNo

Enumeration DateOctober 31, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1053302059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9103288

310 AMBERJACK PL, Melbourne Beach, FL 32951

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Other Identifiers 1

Medicaid003500000FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST PEAK SURGICAL ASSISTING

Physician Assistant (Surgical)

310 AMBERJACK PL
MELBOURNE BEACH, FL 32951

Brevard County (321) 684-1193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Moore's NPI number?

The NPI number for James Moore is 1053302059. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is James Moore located?

James Moore practices at 310 Amberjack Pl, Melbourne Beach, FL 32951. The listed phone number is (321) 684-1193.

What is James Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for James Moore was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.