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MARK BENTON MOORE ARNP
NPI 1205948981
Nurse Practitioner - Pediatrics in Charlotte, NC

Active since August 31, 2006
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-4772(704) 355-6227 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Benton Moore Arnp NPPES

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

MARK BENTON MOORE ARNP (NPI 1205948981) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (9700154) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205948981
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMARK BENTON MOORECredential: ARNP
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing AddressPo Box 601372Charlotte, NC 28260-1372 · (704) 355-4772 · Fax (704) 355-6227
Phone(704) 355-4772
Fax(704) 355-6227
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1205948981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NC · 9700154✔ Licensed in FL · ARNP 9219935
Also ListedNurse PractitionerTaxonomy 363L00000X · License 18527 (TN)
1000 BLYTHE BLVD, Charlotte, NC 28203
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Other Identifiers 2

MedicaidNP1153SC
Medicaid7005122NC

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.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
DAVID MATTHEW SULLIVAN MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2171

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1205948981. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Moore located?

Mark Moore practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-4772.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on December 6, 2021. 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.