PEYTON MOORE MD
NPI 1083401772
Student in an Organized Health Care Education/Training Program in Nashville, TN

Q: What is Peyton Moore's NPI number?

The NPI number for Peyton Moore is 1083401772. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Q: What is Peyton 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 Peyton Moore was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 24, 2025PECOS Enrolled

1310 24TH AVE S, NASHVILLE, TN 37212(615) 225-3700(615) 873-8121 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peyton Moore Md NPPES

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

PEYTON MOORE MD (NPI 1083401772) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083401772

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePEYTON MOORECredential: MD

Location Address1310 24TH AVE SNashville, TN 37212-2637

Mailing Address413 Merritt AveNashville, TN 37203-5303 · (417) 380-3936

Phone(615) 225-3700

Fax(615) 873-8121

Sole ProprietorNo

Enumeration DateApril 24, 2025

Last NPPES UpdateApril 27, 2025

NPPES CertifiedApril 27, 2025

✔ NPI 1083401772 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.

1310 24TH AVE S, Nashville, TN 37212

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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)

Peyton 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.

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.

KELLI RENEE BRANCH PHARM.D.

Pharmacist