JOHN DAVIS MOORE M.D.
NPI 1164491379
Anesthesiology - Pediatric Anesthesiology in Greenville, SC
About John Davis Moore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DAVIS MOORE M.D. (NPI 1164491379) is an individual pediatric anesthesiology provider in Greenville, South Carolina, licensed in South Carolina (88397) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Nashville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Davis Moore M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29615
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Oconee Memorial Hospital
Acute Care Hospitals · Seneca, SCPrisma Health Greer Memorial Hospital
Acute Care Hospitals · Spartanburg, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPrisma Health Patewood Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29615 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
GREENVILLE, SC 29615
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 John Moore's NPI number?
The NPI number for John Moore is 1164491379. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is John Moore located?
John Moore practices at 7 Independence Pt Ste 300, Greenville, SC 29615. The listed phone number is (864) 522-3700.
What is John Moore's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is John Moore enrolled in Medicare?
Yes. John Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Moore reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Moore accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John 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 John Moore affiliated with any hospitals?
According to CMS data, John Moore is affiliated with Prisma Health Oconee Memorial Hospital, Prisma Health Greer Memorial Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Davis Moore, M.D. · NPI 1164491379
Pediatric Anesthesiology physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1164491379 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** 88397 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 INDEPENDENCE PT STE 300, Greenville, SC 29615-4569
- **Phone:** (864) 522-3700 · **Fax:** (864) 522-3705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health University Medical Group (NPI 1528465374, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** September 22, 2022
- **Other identifiers:** Medicaid PENDING (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1164491379) · Data from the CMS NPPES public registry.