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FREDERICK ERNEST MOORE M.D.
NPI 1144380643
Family Medicine in Yanceyville, NC

Active since December 12, 2006
189 COUNTY PARK RD., YANCEYVILLE, NC 27379(336) 694-4129(336) 694-7030 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick Ernest Moore M.d. NPPES

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

FREDERICK ERNEST MOORE M.D. (NPI 1144380643) is an individual family medicine provider in Yanceyville, North Carolina, licensed in North Carolina (30217) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1144380643
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDERICK ERNEST MOORECredential: M.D.
Location Address189 COUNTY PARK RD.Yanceyville, NC 27379
Mailing Address189 County Park Rd.Yanceyville, NC 27379 · (336) 694-4129 · Fax (336) 694-7030
Phone(336) 694-4129
Fax(336) 694-7030
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1144380643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 30217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
189 COUNTY PARK RD., Yanceyville, NC 27379
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Other Identifiers 2

Other30217NC · Nc Medical License Number
Medicaid8960528NC

Other Providers at the Same Location NPPES 4

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

COUNTY OF CASWELL
Clinic/Center (Public Health, State or Local)
189 COUNTY PARK RD.
YANCEYVILLE, NC 27379
Caswell County (336) 694-4129
MS. PATRICIA ANN SMITH-OVERMAN F.N.P.
Nurse Practitioner (Family)
189 COUNTY PARK RD.
YANCEYVILLE, NC 27379
Caswell County (336) 694-4129
COUNTY OF CASWELL
Clinic/Center (Public Health, State or Local)
189 COUNTY PARK RD.
YANCEYVILLE, NC 27379
Caswell County (336) 694-4129
COUNTY OF CASWELL
Case Management
189 COUNTY PARK RD.
YANCEYVILLE, NC 27379
Caswell County (336) 694-4129

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 Frederick Moore's NPI number?

The NPI number for Frederick Moore is 1144380643. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Frederick Moore located?

Frederick Moore practices at 189 County Park Rd., Yanceyville, NC 27379. The listed phone number is (336) 694-4129.

What is Frederick Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Frederick Moore was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.