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DR. DWIGHT MELVYN MOORE M.D.
NPI 1053412668
Obstetrics & Gynecology in Memphis, TN

Active since September 26, 2006PECOS Enrolled
1264 WESLEY DR, STE 402, MEMPHIS, TN 38116(901) 396-5577(901) 396-5585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Dwight Melvyn Moore M.d. NPPES

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

DR. DWIGHT MELVYN MOORE M.D. (NPI 1053412668) is an individual obstetrics & gynecology provider in Memphis, Tennessee, licensed in Tennessee (207V0000X) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053412668
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DWIGHT MELVYN MOORECredential: M.D.
Location Address1264 WESLEY DR, STE 402Memphis, TN 38116-6400
Mailing Address1264 Wesley Dr, Ste 402Memphis, TN 38116-6400 · (901) 396-5577 · Fax (901) 396-5585
Phone(901) 396-5577
Fax(901) 396-5585
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053412668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 207V0000X
Definition
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.
1264 WESLEY DR, Memphis, TN 38116
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Other Identifiers 3

Medicare ID-Type Unspecified3197960TN
Medicare UPINB04770TN
Medicaid3197960TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dwight Melvyn Moore M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

D KATRINA MITCHELL KING FNP
Nurse Practitioner (Family)
1264 WESLEY DR, SUITE 402
MEMPHIS, TN 38116
Shelby County (901) 396-5577
CRESCENT MEDICAL INC.
Internal Medicine
1264 WESLEY DR, SUITE 501
MEMPHIS, TN 38116
Shelby County (901) 346-1800
MEMPHIS RETINA, PLLC
Ophthalmology
1264 WESLEY DR, SUITE 302
MEMPHIS, TN 38116
Shelby County (901) 348-0415
DR. JEAN-CLAUDE LOISEAU M.D.
Surgery
1264 WESLEY DR, STE 304
MEMPHIS, TN 38116
Shelby County (901) 398-1990
DR. WESLEY EARL JONES M.D.
Internal Medicine (Gastroenterology)
1264 WESLEY DR, SUITE 303
MEMPHIS, TN 38116
Shelby County (901) 398-9574
CHARLOTTE R DRAKE FNP
Nurse Practitioner (Family)
1264 WESLEY DR, SUITE 501
MEMPHIS, TN 38116
Shelby County (901) 346-1800
BENJAMIN F EVANS M.D.
Internal Medicine
1264 WESLEY DR, #206
MEMPHIS, TN 38116
Shelby County (901) 346-6566
DR. COREY SHANE MCGLOTHAN M.D.
Obstetrics & Gynecology (Obstetrics)
1264 WESLEY DR, STE 402
MEMPHIS, TN 38116
Shelby County (901) 396-5577

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 Dwight Moore's NPI number?

The NPI number for Dwight Moore is 1053412668. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Dwight Moore located?

Dwight Moore practices at 1264 Wesley Dr Ste 402, Memphis, TN 38116. The listed phone number is (901) 396-5577.

What is Dwight Moore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dwight Moore enrolled in Medicare?

Yes. Dwight Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dwight Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.