ELEA MOORE
NPI 1205679420
Physician Assistant in Birmingham, AL

Q: What is Elea Moore's NPI number?

The NPI number for Elea Moore is 1205679420. It was assigned to this individual provider in the NPPES registry on June 15, 2024.

Q: What is Elea Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elea Moore was last updated on June 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 15, 2024PECOS Enrolled

1716 9TH AVE S, BIRMINGHAM, AL 35233(205) 934-5149 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Elea Moore NPPES

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

ELEA MOORE (NPI 1205679420) is an individual physician assistant in Birmingham, Alabama and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205679420

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELEA MOORE

Location Address1716 9TH AVE SBirmingham, AL 35233-1124

Mailing Address1716 9th Ave SBirmingham, AL 35233-1124

Phone(205) 934-5149

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 15, 2024

NPPES CertifiedJune 15, 2024

✔ NPI 1205679420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1716 9TH AVE S, Birmingham, AL 35233

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elea Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274035605

PECOS Enrollment IDI20250905001317

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 35233 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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 20

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

HAILEY HARMON

Physician Assistant