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

Elea Moore

Individual provider Physician Assistant · NPI 1205679420

Elea Moore is a Physician Assistant in Birmingham, Alabama. Qualified in 2024, 2 years ago. Registered with an NPI since 2024.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

1716 9th Ave S
Birmingham, AL 35233-1124
Phone: (205) 934-5149
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205679420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2024
Last updated in NPPESJune 15, 2024
Certification dateJune 15, 2024
Mailing address1716 9th Ave S, Birmingham, AL 35233-1124

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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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