JAMES N MOORE PA-C
NPI 1972746089
Physician Assistant - Medical in Jbsa-randolph Afb, TX

Active since April 20, 2009PECOS Enrolled
221 3RD STREET WEST, 359 MEDICAL GROUP, JBSA-RANDOLPH AFB, TX 78150(210) 652-8544 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Sep 5, 2019 (2 updates tracked since 2019).

About James N Moore Pa-c NPPES

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

JAMES N MOORE PA-C (NPI 1972746089) is an individual medical provider in Jbsa-randolph Afb, Texas, licensed in New Mexico (PA2016-0009) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972746089
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAMES N MOORECredential: PA-C
Location Address221 3RD STREET WEST, 359 MEDICAL GROUPJbsa-randolph Afb, TX 78150
Mailing Address221 3rd Street West, 359 Medical GroupJbsa-randolph Afb, TX 78150 · (210) 652-8544
Sole ProprietorNo
Enumeration DateApril 20, 2009
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1972746089 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
Licenses Licensed in NM · PA2016-0009 Licensed in FL · PA9107961
221 3RD STREET WEST, Jbsa-randolph Afb, TX 78150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James N Moore Pa-c 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.

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 James Moore's NPI number?

The NPI number for James Moore is 1972746089. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is James Moore located?

James Moore practices at 221 3rd Street West 359 Medical Group, Jbsa-Randolph Afb, TX 78150. The listed phone number is (210) 652-8544.

What is James Moore's specialty?

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

Is James Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Moore was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.