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DR. ZACHARY WAYNE MOORE MD
NPI 1780472639
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 29, 2025PECOS Enrolled
1707 N MAIN ST, GAINESVILLE, FL 32609(352) 265-9592 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zachary Wayne Moore Md NPPES

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

DR. ZACHARY WAYNE MOORE MD (NPI 1780472639) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780472639
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ZACHARY WAYNE MOORECredential: MD
Location Address1707 N MAIN STGainesville, FL 32609-3650
Mailing Address1707 N Main StGainesville, FL 32609-3650
Phone(352) 265-9592
Sole ProprietorNo
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1780472639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1707 N MAIN ST, Gainesville, FL 32609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zachary Wayne Moore 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.

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.

DR. SAMUEL TRINGALI DO
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
DR. MATTHEW S JORGENSEN DO
Student in an Organized Health Care Education/Training Program
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-1234
DR. SCOTT GAVIN GARLAND PHARMD
Pharmacist (Ambulatory Care)
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9553
JOANNE ZHAO
Student in an Organized Health Care Education/Training Program
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
LISA RENEE CHACKO M.D., MPH
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
DR. DANIELLE SUSANNE NELSON MD
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-7001
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-7922
DR. JASON ROBERT KONOPACK M.D.
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593

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 Zachary Moore's NPI number?

The NPI number for Zachary Moore is 1780472639. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Zachary Moore located?

Zachary Moore practices at 1707 N Main St, Gainesville, FL 32609. The listed phone number is (352) 265-9592.

What is Zachary Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Zachary Moore was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.