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

Bailey S Moore, PA

Individual provider Physician Assistant · NPI 1790441533

Bailey S Moore, PA is a Physician Assistant in Crossville, Tennessee. Qualified in 2021, 5 years ago. Practices with Skin Cancer and Cosmetic Dermatology Center PC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone: (931) 484-6061
Fax: (931) 484-6062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 N Oak Ave, Cookeville, TN 38501-2439 — (931) 484-6061

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4800 (TN)

Record details

NPI number1790441533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address29 Taylor Ave Ste 101, Crossville, TN 38555-4536

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Skin Cancer And Cosmetic Dermatology Center Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crossville