Addison Moore
Addison Moore is a Family Practice in Northport, Alabama. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2022, 4 years ago. Licensed in Alabama.
- Years since qualifying
- 4
- Trained at
- Edward via Col of Osteo Medicine-Virginia Campus
- Licensed in
- AL
- In the registry since
- 2022
Practice location Address checks out
4310 Watermelon RdNorthport, AL 35473-5166
Phone: (205) 330-5266
Fax: (205) 330-9915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence DO.3765 (AL) |
|---|
Record details
| NPI number | 1205586583 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2022 |
| Last updated in NPPES | July 9, 2026 |
| Certification date | July 9, 2026 |
| Mailing address | 4310 Watermelon Rd, Northport, AL 35473-5166 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |