GLORIA Z. MOORE D.C., P.A.
NPI 1417196106
Clinic/Center in St Augustine, FL
About Gloria Z. Moore D.c., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLORIA Z. MOORE D.C., P.A. (NPI 1417196106) is a healthcare organization registered as a clinic/center in St Augustine, Florida and active in the NPI registry since February 2009. The organization lists Gloria Z. Moore, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gloria Z. Moore D.c., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gloria Z. Moore D.C., P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gloria Z. Moore D.C., P.A.'s NPI number?
The NPI number for Gloria Z. Moore D.C., P.A. is 1417196106. It was assigned to this organization in the NPPES registry on February 19, 2009.
Where is Gloria Z. Moore D.C., P.A. located?
Gloria Z. Moore D.C., P.A. is located at 101 Whitehall Dr Suite 102, St Augustine, FL 32086. The listed phone number is (904) 794-0909.
What is Gloria Z. Moore D.C., P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Gloria Z. Moore D.C., P.A. enrolled in Medicare?
Yes. Gloria Z. Moore D.C., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gloria Z. Moore D.C., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gloria Z. Moore D.C., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gloria Z. Moore D.C., P.A. was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Gloria Z. Moore D.c., P.a. · NPI 1417196106
Clinic/Center organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since February 19, 2009.
## Identity
- **NPI:** 1417196106 (Entity type: Organization)
- **Enumerated:** February 19, 2009
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Gloria Moore, PRESIDENT
## Practice location
- **Address:** 101 WHITEHALL DR, SUITE 102, St Augustine, FL 32086-5268
- **Phone:** (904) 794-0909 · **Fax:** (904) 794-6700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2009
- **Other identifiers:** Other 1508814856 (FL); Medicare PIN 55231 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1417196106) · Data from the CMS NPPES public registry.