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

Cassidy Boone Pate-Moore

Individual provider Physician Assistant · NPI 1760212195

Cassidy Boone Pate-Moore is a Physician Assistant in Wilmington, North Carolina. Qualified in 2024, 2 years ago. Practices with Atlantic Brain and Spine, PA, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

2208 S 17th St
Wilmington, NC 28401-7593
Phone: (910) 763-3333
Fax: (910) 799-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760212195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2024
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Atlantic Brain And Spine, P.A. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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