Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisha Marie Moore

Individual provider Internal Medicine Physician · NPI 1710407150

Alisha Marie Moore is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2017, 9 years ago. Practices with Internal Medicine Associates of Tuscaloosa, PC, a 9-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375
Phone: (205) 349-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-116590 (AL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 630900428 (AL)

Record details

NPI number1710407150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESDecember 8, 2022
Certification dateDecember 5, 2022
Mailing address1957 Vic Green Rd, Northport, AL 35475-4964

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Internal Medicine Associates Of Tuscaloosa, Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tuscaloosa