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

Ellen Jane Moore, MD

Individual provider Internal Medicine Physician · NPI 1912226960

Ellen Jane Moore, MD is an Internal Medicine in Asheville, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2010, 16 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
16
Trained at
Medical University of South Carolina College of Medicine
Licensed in
NC, SC
In the registry since
2010
Specialties on file
3
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

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone: (828) 258-0397
Fax: (282) 777-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 201500325 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 39983 (SC)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 39983 (SC)

Record details

NPI number1912226960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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