Mr. Mark Moore is a Meridian, Mississippi based nurse practitioner with 28 years of experience in . He completed his graduation in 1997. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Mark Moore is R669059 in Mississippi. His current practice location is 1600 22nd Ave, Medical Towers Iii, Meridian. Patients can reach him at 601-483-5322 or can fax him at 601-581-2289. Mr. Mark Moore is CFNP and his NPI number (Unique professional ID assigned by NPPES) is 1962489567. Mr. Mark Moore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Mark Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Mark Moore
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
CFNP
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
1600 22nd Ave, Medical Towers Iii, Meridian, Mississippi, 39301-3223
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4082683610
Enrollment ID:
I20040929001051
NPI Number:
1962489567
NPI Enumeration Date:
27 Dec, 2005
NPI Last Update On:
02 Jun, 2011
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark Moore are as mentioned below.
License Number
Specialization
State
Status
R669059
Mississippi
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250104)
Meridian, MS
Acute Care Hospital
(250043)
Philadelphia, MS
Acute Care Hospital
(251322)
Union, MS
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Mark Moore is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cardiovascular Institute Of The South, Apmc (3779497441)
130
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Mark Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02904207
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Mark Moore 1600 22nd Ave, Medical Towers Iii Meridian, Mississippi
Zip:
39301-3223
Phone Number:
601-483-5322
Fax Number:
601-581-2289
Patients can reach Mr. Mark Moore at 1600 22nd Ave, Medical Towers Iii, Meridian, Mississippi or can call to book an appointment on 601-483-5322.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.