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DR. ALECIA A MOORE DMD
NPI 1114289394
Dentist - General Practice in Ellisville, MS

Active since June 13, 2012PECOS Enrolled
97 HAL CROCKER RD, ELLISVILLE, MS 39437(601) 477-3779 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alecia A Moore Dmd NPPES

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

DR. ALECIA A MOORE DMD (NPI 1114289394) is an individual general practice provider in Ellisville, Mississippi, licensed in Mississippi (3638-12) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114289394
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALECIA A MOORECredential: DMD
Location Address97 HAL CROCKER RDEllisville, MS 39437-2088
Mailing Address107 N Van Buren StCarthage, MS 39051-4160 · (601) 267-3722 · Fax (601) 267-0338
Phone(601) 477-3779
Sole ProprietorYes
Enumeration DateJune 13, 2012
Last NPPES UpdateJuly 3, 2015
✔ NPI 1114289394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3638-12
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

97 HAL CROCKER RD, Ellisville, MS 39437
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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)

Dr. Alecia A Moore Dmd 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 39437 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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

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

DR. WESLIE ANN BLACKLEDGE DMD
Dentist (General Practice)
97 HAL CROCKER RD
ELLISVILLE, MS 39437
Jones County (601) 477-3779

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 Alecia Moore's NPI number?

The NPI number for Alecia Moore is 1114289394. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Alecia Moore located?

Alecia Moore practices at 97 Hal Crocker Rd, Ellisville, MS 39437. The listed phone number is (601) 477-3779.

What is Alecia Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alecia Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alecia Moore was last updated on July 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.