Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Corey Scott Moore, MD

Individual provider Emergency Medicine Physician · NPI 1104455385

Dr. Corey Scott Moore, MD is an Emergency Medicine in Richmond, Virginia. Graduated from Jc Edwards School of Medicine, Marshall University in 2020, 6 years ago. Practices with East Carolina University, a 498-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
6
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
NC, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 E Marshall St
Richmond, VA 23298-5023
Phone: (804) 828-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 — (252) 744-4757
  • 2495 Pocahontas Trl, Quinton, VA 23141-1637 — (804) 932-5500
  • 618 Hospital Rd, Tappahannock, VA 22560-5000 — (804) 443-6297
  • 300 Mt Clement Park Ste A, Tappahannock, VA 22560-5098 — (804) 443-8610

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101278509 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2022-03206 (NC)

Record details

NPI number1104455385
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing addressPo Box 780125, Philadelphia, PA 19178-0125

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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