TASHA M MOORE APRN
NPI 1114417789
Nurse Practitioner in Timmonsville, SC
About Tasha M Moore Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TASHA M MOORE APRN (NPI 1114417789) is an individual nurse practitioner in Timmonsville, South Carolina, licensed in South Carolina (21515) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Accepted 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)
Tasha M Moore Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Health Clarendon
Acute Care Hospitals · Manning, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIMMONSVILLE, SC 29161
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 Tasha Moore's NPI number?
The NPI number for Tasha Moore is 1114417789. It was assigned to this individual provider in the NPPES registry on May 18, 2018.
Where is Tasha Moore located?
Tasha Moore practices at 210 E Market St, Timmonsville, SC 29161. The listed phone number is (843) 346-3730.
What is Tasha Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tasha Moore enrolled in Medicare?
Yes. Tasha Moore is registered in the Medicare PECOS enrollment system.
What insurance does Tasha Moore accept?
Health plans from Molina Healthcare list Tasha Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tasha Moore affiliated with any hospitals?
According to CMS data, Tasha Moore is affiliated with Mcleod Health Clarendon.
When was this NPI record last updated?
The NPPES record for Tasha Moore was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Tasha M Moore, APRN · NPI 1114417789
Nurse Practitioner physician in Timmonsville, South Carolina. Individual provider, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1114417789 (Entity type: Individual)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 21515 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 E MARKET ST, Timmonsville, SC 29161-1812
- **Phone:** (843) 346-3730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114417789) · Data from the CMS NPPES public registry.