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

Becky Moore

Individual provider Physician Assistant · NPI 1013370527

Becky Moore is a Physician Assistant in Raleigh, North Carolina. Qualified in 2015, 11 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and North Carolina.

Years since qualifying
11
Licensed in
MS, NC
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3100 Blue Ridge Rd #103
Raleigh, NC 27612-8036
Phone: (919) 719-2250
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Baptist Dr Ste 220, Madison, MS 39110-2031 — (601) 985-9120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00548 (MS)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06237 (NC)

Record details

NPI number1013370527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Raleigh