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

Ebonique Moment, MD

Individual provider Anesthesiology Physician · NPI 1730306408

Ebonique Moment, MD is an Anesthesiology in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina and South Carolina.

Years since qualifying
22
Licensed in
GA, NC, SC
In the registry since
2007
Specialties on file
4
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 377-3389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 84641 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD35024 (SC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2012-01406 (NC)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 002293 (GA)

Record details

NPI number1730306408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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