DR. TAMARA KYLE MOORE DNP
NPI 1467973768
Nurse Practitioner - Adult Health in Mount Pleasant, SC

Active since June 28, 2017PECOS Enrolled
200 PORTS AUTHORITY DR, MOUNT PLEASANT, SC 29464(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2019, Dec 8, 2019, Oct 10, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Tamara Kyle Moore Dnp NPPES

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

DR. TAMARA KYLE MOORE DNP (NPI 1467973768) is an individual adult health provider in Mount Pleasant, South Carolina, licensed in South Carolina (21089) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467973768
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. TAMARA KYLE MOORECredential: DNP
Location Address200 PORTS AUTHORITY DRMount Pleasant, SC 29464-7998
Mailing AddressPo Box 602108Charlotte, NC 28260-2108 · (843) 792-6200
Sole ProprietorNo
Enumeration DateJune 28, 2017
Last NPPES UpdateDecember 20, 20194 updates tracked since enumeration
✔ NPI 1467973768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 21089
200 PORTS AUTHORITY DR, Mount Pleasant, SC 29464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tamara Kyle Moore Dnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tamara Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
200 PORTS AUTHORITY DR
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 509 clinicians in this Medicare group
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 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 29464 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 PORTS AUTHORITY DR
MOUNT PLEASANT, SC 29464
Nurse Practitioner (Family)
200 PORTS AUTHORITY DR
MT PLEASANT, SC 29464
Nurse Practitioner (Family)
200 PORTS AUTHORITY DR
MOUNT PLEASANT, SC 29464
Nurse Practitioner (Family)
200 PORTS AUTHORITY DR
MOUNT PLEASANT, SC 29464

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 Tamara Moore's NPI number?

The NPI number for Tamara Moore is 1467973768. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Tamara Moore located?

Tamara Moore practices at 200 Ports Authority Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 792-1414.

What is Tamara Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tamara Moore enrolled in Medicare?

Yes. Tamara Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tamara Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Moore reassigns Medicare benefits to 2 organizations: Carolina Family Care (Mount Pleasant, SC) and University Medical Associates (Mt Pleasant, SC). 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 Tamara Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Moore accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Tamara 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 Tamara Moore was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.