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

Jacob Moore, ATCLAT

Individual provider Athletic Trainer · NPI 1821512179

Jacob Moore, ATCLAT is an Athletic Trainer in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

116 Ward Sports Medicine Bldg
Greenville, NC 27858
Phone: (252) 737-2634
Fax: (252) 737-1393
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1166 (NC)

Record details

NPI number1821512179
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorNo
NPI enumeratedJuly 28, 2017
Last updated in NPPESJuly 28, 2017
Mailing address316 Prince Rd, Greenville, NC 27858-4941

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