MR. NORMAN BLAKE MOORE JR. CRNA
NPI 1225030372
Nurse Anesthetist, Certified Registered in West Columbia, SC

Q: What is Norman Moore's NPI number?

The NPI number for Norman Moore is 1225030372. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Norman Moore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Norman Moore was last updated on June 19, 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 01, 2005PECOS EnrolledAccepts Medicare Assignment

2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 935-8538 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2024, Jun 5, 2024, May 8, 2024 and 2 more (5 updates tracked since 2016).

On this page

About Mr. Norman Blake Moore Jr. Crna NPPES

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

MR. NORMAN BLAKE MOORE JR. CRNA (NPI 1225030372) is an individual nurse anesthetist, certified registered in West Columbia, South Carolina, licensed in South Carolina (26371) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1225030372

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. NORMAN BLAKE MOORE JR.Credential: CRNA

Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810

Mailing Address2890 Dauphin StMobile, AL 36606-2457 · (601) 261-3606 · Fax (601) 579-5240

Phone(803) 935-8538

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 1, 2005

Last NPPES UpdateJune 19, 20245 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1225030372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in SC · 26371✔ Licensed in AL · 1-090700✔ Licensed in MS · 901401

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2720 SUNSET BLVD, West Columbia, SC 29169

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Secondary Practice Location 1

Location 1415 S 28th AveHattiesburg, MS 39401-7246 · Phone (601) 261-3606 · Fax (601) 579-5383

Other Identifiers 1

Medicaid01934777MS

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

Mr. Norman Blake Moore Jr. Crna 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 ID5698932630

PECOS Enrollment IDI20240619001930

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.

Medicare Billing Reassignments

Medicare enrollment records show Norman Moore reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health Inc

Same address

Dietitian, Registered

2720 SUNSET BLVD
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1003416066 (803) 791-2248

Watauga Medical Center Inc

154 mi

General Acute Care Hospital

336 DEERFIELD RD
Boone, NC 28607

Reassigned Medicare billing, North Carolina enrollment
129 clinicians in this Medicare group

NPI 1205859766 (828) 262-4100

Anesthesiologists Associated PC

332 mi

Anesthesiology

701 PRINCETON AVE SW
Birmingham, AL 35211

Reassigned Medicare billing, Alabama enrollment
690 clinicians in this Medicare group

NPI 1851371850 (205) 783-3144

Gulf Health Hospitals, Inc.

444 mi

General Acute Care Hospital

1815 HAND AVE
Bay Minette, AL 36507

Reassigned Medicare billing, Alabama enrollment
32 clinicians in this Medicare group

NPI 1134164924 (251) 580-1717

Mobile Infirmary Association

467 mi

General Acute Care Hospital

5 MOBILE INFIRMARY CIR
Mobile, AL 36607

Reassigned Medicare billing, Alabama enrollment
20 clinicians in this Medicare group

NPI 1558364802 (251) 435-4700

Anesthesiacare, P.C.

469 mi

Anesthesiology

2890 DAUPHIN ST
Mobile, AL 36606

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: Anesthesiacare PC
46 clinicians in this Medicare group

NPI 1881099174 (251) 473-2020

Physicians Anesthesia Group, P.A.

537 mi

Anesthesiology

971 LAKELAND DR, SUITE 202
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
86 clinicians in this Medicare group

NPI 1407890783 (601) 362-1990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

31 services31 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

24 services24 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

18 services18 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%25 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ANDREI YERIK HETMAN M.D.

Internal Medicine (Critical Care Medicine)