SAMANTHA MARIE MOORE MD
NPI 1336834274
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Samantha Moore's NPI number?

The NPI number for Samantha Moore is 1336834274. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Samantha Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Moore was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 06, 2023PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-5885 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Apr 6, 2023 (2 updates tracked since 2023).

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About Samantha Marie Moore Md NPPES

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

SAMANTHA MARIE MOORE MD (NPI 1336834274) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336834274

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA MARIE MOORECredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address910 Madison Ave Ste 428Memphis, TN 38103-3403 · (901) 448-5885

Phone(901) 448-5885

Sole ProprietorNo

Enumeration DateApril 6, 2023

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1336834274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program