CHARLES A MOORE
NPI 1659551935
Clinic/Center in Middlesboro, KY

Active since November 05, 2007
123 N 19TH ST, SUITE 201, MIDDLESBORO, KY 40965(606) 248-7630(606) 248-8803 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles A Moore NPPES

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

CHARLES A MOORE (NPI 1659551935) is a healthcare organization registered as a clinic/center in Middlesboro, Kentucky and active in the NPI registry since November 2007. The organization lists Charles A Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1659551935
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHARLES A MOORE
Location Address123 N 19TH ST, SUITE 201Middlesboro, KY 40965-2865
Mailing AddressPo Box 309Middlesboro, KY 40965-0309 · (606) 248-7630 · Fax (606) 248-8803
Fax(606) 248-8803
Organization SubpartNo
Authorized OfficialCharles A MooreOwner · (606) 248-0090
Enumeration DateNovember 5, 2007
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1659551935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
123 N 19TH ST, Middlesboro, KY 40965

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Internal Medicine
123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965
Nurse Practitioner (Adult Health)
123 N 19TH ST
MIDDLESBORO, KY 40965
Surgery
123 N 19TH ST
MIDDLESBORO, KY 40965
Podiatrist (Foot & Ankle Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Dentist (Oral and Maxillofacial Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
123 N 19TH ST, SUITE A201
MIDDLESBORO, KY 40965
Surgery
123 N 19TH ST, SUITE B301
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
123 N 19TH ST
MIDDLESBORO, KY 40965

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 Charles A Moore's NPI number?

The NPI number for Charles A Moore is 1659551935. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Charles A Moore located?

Charles A Moore is located at 123 N 19th St Suite 201, Middlesboro, KY 40965. The listed phone number is (606) 248-7630.

What is Charles A Moore's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Charles A Moore was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.