CAMERON JORDAN MOORE
NPI 1447046503
Nurse Anesthetist, Certified Registered in Dothan, AL

Active since April 16, 2025Accepts Medicare Assignment
1108 ROSS CLARK CIR, DOTHAN, AL 36301(334) 793-8111 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cameron Jordan Moore NPPES

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

CAMERON JORDAN MOORE (NPI 1447046503) is an individual nurse anesthetist, certified registered in Dothan, Alabama, licensed in Alabama (3-002354) and active in the NPI registry since April 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1447046503
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCAMERON JORDAN MOORE
Location Address1108 ROSS CLARK CIRDothan, AL 36301-3022
Mailing Address1305 Jj Whitaker RdBonifay, FL 32425-6323 · (850) 768-3819
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 16, 2025
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1447046503 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
License✔ Licensed in AL · 3-002354
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.
1108 ROSS CLARK CIR, Dothan, AL 36301

Accepted Insurance

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

Cameron Jordan Moore 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 ID6204346380
PECOS Enrollment IDI20250609000466

Medicare Billing Reassignments

3

Medicare enrollment records show Cameron Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1108 ROSS CLARK CIR
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1118 ROSS CLARK CIR, SUITE 700
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 52 clinicians in this Medicare group
Rural Health
2910 HOSPITAL DR STE A
Bonifay, FL 32425
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
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.

Anesthesiology
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Psychiatric Unit
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Psychiatry & Neurology (Neurology)
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301

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 Cameron Moore's NPI number?

The NPI number for Cameron Moore is 1447046503. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Cameron Moore located?

Cameron Moore practices at 1108 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 793-8111.

What is Cameron Moore's specialty?

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

Is Cameron Moore enrolled in Medicare?

Yes. Cameron Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cameron Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Moore reassigns Medicare benefits to 3 organizations: Houston County Healthcare Authority (Dothan, AL), Anesthesia Consultants Medical Group PC (Dothan, AL) and Holmes County Hospital Corp (Bonifay, FL). Each 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 Cameron Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cameron Moore accept?

Health plans from Blue Cross and Blue Shield of Alabama list Cameron Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cameron Moore was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.