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DR. J DAVID MOORE M.D.
NPI 1497767792
Psychiatry & Neurology - Psychiatry in Greenville, SC

Active since August 13, 2006Opted out of Medicare · through Aug 1, 2027
23 BUENA VISTA WAY, STE B, GREENVILLE, SC 29615(864) 315-3736(864) 315-3736 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2021, Feb 5, 2020, May 16, 2018 and 1 more (4 updates tracked since 2018).

About Dr. J David Moore M.d. NPPES

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

DR. J DAVID MOORE M.D. (NPI 1497767792) is an individual psychiatry provider in Greenville, South Carolina, licensed in South Carolina (35169) and active in the NPI registry since August 2006. He has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497767792
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. J DAVID MOORECredential: M.D.
Location Address23 BUENA VISTA WAY, STE BGreenville, SC 29615
Mailing Address1491 Altamont RdGreenville, SC 29609-6211 · (864) 546-8284 · Fax (864) 315-3736
Phone(864) 315-3736
Fax(864) 315-3736
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateJanuary 31, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2021
✔ NPI 1497767792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in SC · 35169✔ Licensed in GA · 040166
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
23 BUENA VISTA WAY, STE B, Greenville, SC 29615
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Other Identifiers 1

Medicaid351693SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. J David Moore M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2017 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2017
Opt-Out In Effect ThroughAugust 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
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.

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 J Moore's NPI number?

The NPI number for J Moore is 1497767792. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is J Moore located?

J Moore practices at 23 Buena Vista Way, Ste B, Greenville, SC 29615. The listed phone number is (864) 315-3736.

What is J Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is J Moore enrolled in Medicare?

No. J Moore has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for J Moore was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.