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

Jason B. Moore

Individual provider Family Medicine Physician · NPI 1447236450

Jason B. Moore is a Family Practice in Bristol, Tennessee. Graduated from Ohio State University College of Medicine in 1999, 27 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Trained at
Ohio State University College of Medicine
Licensed in
TN
In the registry since
2005
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Practice location Address checks out

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone: (423) 989-4050
Fax: (423) 990-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36696 (TN)

Record details

NPI number1447236450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESFebruary 6, 2019
Mailing addressPo Box 699, Mountain Home, TN 37684-0699

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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