MR. JUSTIN CLAUDE MOORE NURSE PRACTITIONER
NPI 1164180535
Nurse Practitioner - Acute Care in Greenville, SC

Q: What is Justin Moore's NPI number?

The NPI number for Justin Moore is 1164180535. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Q: What is Justin Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Justin Moore was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 December 02, 2021PECOS EnrolledAccepts Medicare Assignment

701 GROVE RD FL 5, GREENVILLE, SC 29605(864) 455-4411(864) 455-4480 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2024, Jan 20, 2022, Dec 2, 2021 (3 updates tracked since 2021).

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About Mr. Justin Claude Moore Nurse Practitioner NPPES

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

MR. JUSTIN CLAUDE MOORE NURSE PRACTITIONER (NPI 1164180535) is an individual acute care provider in Greenville, South Carolina, licensed in South Carolina (25609) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Hillcrest Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164180535

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. JUSTIN CLAUDE MOORECredential: NURSE PRACTITIONER

Location Address701 GROVE RD FL 5Greenville, SC 29605-4210

Mailing Address3 Saint Francis Dr Ste 360Greenville, SC 29601-3972 · (864) 233-4349

Phone(864) 455-4411

Fax(864) 455-4480

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 2, 2021

Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1164180535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 25609

701 GROVE RD FL 5, Greenville, SC 29605

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North 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 and accepts Medicare assignment

Mr. Justin Claude Moore Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032504295

PECOS Enrollment IDI20220324002759

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420037

Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 20

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

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