Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Kristan Moore, PA-C

Individual provider Physician Assistant · NPI 1881101236

Hannah Kristan Moore, PA-C is a Physician Assistant in Pinehurst, North Carolina. Qualified in 2017, 9 years ago. Practices with Southern Dermatology PA, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

125 Fox Hollow Rd Ste 210
Pinehurst, NC 28374-8593
Phone: (910) 295-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7724 Raeford Rd., Fayetteville, NC 28304 — (910) 423-7546

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07779 (NC)

Record details

NPI number1881101236
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern Dermatology Pa — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pinehurst