Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS ANDREW MOORE
NPI 1831992924
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1831992924. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Nicholas Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Moore was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since April 01, 2025PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 662-9300(910) 662-9301 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Apr 1, 2025 (2 updates tracked since 2025).

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About Nicholas Andrew Moore NPPES

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

NICHOLAS ANDREW MOORE (NPI 1831992924) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL26-0624) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Forest.

NPPES Registry Identity

NPI1831992924

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS ANDREW MOORE

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 662-9300

Fax(910) 662-9301

Sole ProprietorYes

Enumeration DateApril 1, 2025

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1831992924 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

License✔ Licensed in NC · RTL26-0624

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.

2131 S 17TH ST, Wilmington, NC 28401

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Secondary Practice Location 1

Location 11071 Gables Dr Apt 304Forest, VA 24551-4783 · Phone (952) 288-5124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Andrew Moore 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.

NEW HANOVER REGIONAL MEDICAL CENTER

Rehabilitation Hospital