| Mr Colton Ray Moore, APRN, FNP-C | |
|
1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | |
| (901) 350-0978 | |
| Not Available |
| Full Name | Mr Colton Ray Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1720 E Reelfoot Ave Ste 200, Union City, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821607052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27851 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 27851 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medical Care Facilities Pc | 6103837877 | 42 |
| Entity Name | Emergency Medical Care Facilities Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
| Entity Name | Methodist University Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Entity Name | Germantown Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Entity Name | Methodist North Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Entity Name | Methodist South Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Colton Ray Moore, APRN, FNP-C 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 Ph: (901) 350-0978 | Mr Colton Ray Moore, APRN, FNP-C 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 Ph: (901) 350-0978 |