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MR. JUSTIN MOORE PHYSICIAN ASSISTANT
NPI 1831743699
Physician Assistant - Medical in Shreveport, LA

Active since July 30, 2019PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(870) 510-0171 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Jan 8, 2025, Jul 30, 2019 (3 updates tracked since 2019).

About Mr. Justin Moore Physician Assistant NPPES

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

MR. JUSTIN MOORE PHYSICIAN ASSISTANT (NPI 1831743699) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (346971) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831743699
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JUSTIN MOORECredential: PHYSICIAN ASSISTANT
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address61 Weesner Ave Unit 3Williamsburg, KY 40769-2051 · (870) 510-0171
Phone(870) 510-0171
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 30, 2019
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1831743699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in LA · 346971
1541 KINGS HWY, Shreveport, LA 71103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin Moore Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385152768
PECOS Enrollment IDI20250806000608
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.

PRATIK AGRAWAL
Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
SHAHEENA ANENE
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
UDAY KUMAR CHALWADI
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
AYA MOUHAFFEL MD
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
JENNIFER B CYPHER PA-C
Physician Assistant (Medical)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
STEVEN R BAILEY MD
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
DR. RUSSELL SCOTT ANDERSON MD
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000
PEIMIN ZHU M.D.
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0000

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 Justin Moore's NPI number?

The NPI number for Justin Moore is 1831743699. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Justin Moore located?

Justin Moore practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (870) 510-0171.

What is Justin Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Justin Moore enrolled in Medicare?

Yes. Justin Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Moore accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Justin 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 Justin Moore was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.