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DEDRICK EARL MOULTON MD
NPI 1730276841
Pediatrics - Pediatric Gastroenterology in Charlotte, NC

Active since October 09, 2006PECOS Enrolled
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2022, Oct 5, 2022, Sep 12, 2022 and 2 more (5 updates tracked since 2019).

About Dedrick Earl Moulton Md NPPES

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

DEDRICK EARL MOULTON MD (NPI 1730276841) is an individual pediatric gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (2021-03243) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1730276841
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDEDRICK EARL MOULTONCredential: MD
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-8840
Sole ProprietorNo
Enumeration DateOctober 9, 2006
Last NPPES UpdateNovember 18, 20225 updates tracked since enumeration
NPPES CertifiedDecember 12, 2019
✔ NPI 1730276841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NC · 2021-03243
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 2021-03243 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1100 Medical Park Dr, Ste 310EConcord, NC 28025-2948 · Phone (704) 403-2660
Location 21781 Tate Blvd SEHickory, NC 28602-4251 · Phone (704) 381-8840
Location 32550 Court DrGastonia, NC 28054-2152 · Phone (704) 381-8840
Location 414214 Ballantyne Lake RdCharlotte, NC 28277-3372 · Phone (704) 381-8840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dedrick Earl Moulton Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

MS. DIANNE RUTH JACKSON PT
Physical Therapist (Orthopedic)
1001 BLYTHE BLVD, SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 323-2000
MR. THOMAS FREDERIC QUINE PT
Physical Therapist (Orthopedic)
1001 BLYTHE BLVD, SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 945-7750
CHARLOTTE MEDICAL CLINIC
Internal Medicine
1001 BLYTHE BLVD, MCP SUITE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-5100
BRENDA K. COWELL MD
Internal Medicine
1001 BLYTHE BLVD, STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-5100
ORTHOCAROLINA, PA
Orthopaedic Surgery
1001 BLYTHE BLVD, SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 323-2000
JAMES W. PLONK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1001 BLYTHE BLVD, STE. 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-5100
PATRICE DIANA MCNEIL NP
Nurse Practitioner (Family)
1001 BLYTHE BLVD, SUITE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-5100
ALANNA J WORRELL MD
Internal Medicine
1001 BLYTHE BLVD, STE 500
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-5100

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 Dedrick Moulton's NPI number?

The NPI number for Dedrick Moulton is 1730276841. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Dedrick Moulton located?

Dedrick Moulton practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Dedrick Moulton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Dedrick Moulton enrolled in Medicare?

Yes. Dedrick Moulton is registered in the Medicare PECOS enrollment system.

What insurance does Dedrick Moulton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Dedrick Moulton 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 Dedrick Moulton was last updated on November 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.