MR. MATTHEW MORGAN MOAKE
NPI 1073958120
Pediatrics - Pediatric Emergency Medicine in Charleston, SC

Q: What is Matthew Moake's NPI number?

The NPI number for Matthew Moake is 1073958120. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Q: What is Matthew Moake's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Moake was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 02, 2013PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-0269 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2020, Mar 21, 2018, Jun 27, 2017 (3 updates tracked since 2017).

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About Mr. Matthew Morgan Moake NPPES

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

MR. MATTHEW MORGAN MOAKE (NPI 1073958120) is an individual pediatric emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (39233) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073958120

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameMR. MATTHEW MORGAN MOAKE

Location Address171 ASHLEY AVECharleston, SC 29425-2106

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-0269

Sole ProprietorNo

Enumeration DateMay 2, 2013

Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1073958120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in SC · 39233

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 39233 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

171 ASHLEY AVE, Charleston, SC 29425

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Other Identifiers 1

Other39233SC · Sc Llr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Morgan Moake 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.

Other Providers at the Same Location NPPES 20

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

CAROLYN REED WORD M.D.

Allergy & Immunology