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

John Davis Moore, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1164491379

John Davis Moore, MD is an Anesthesiology in Greenville, South Carolina. Graduated from Wake Forest University School of Medicine in 2004, 22 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, South Carolina and Tennessee.

Years since qualifying
22
Trained at
Wake Forest University School of Medicine
Licensed in
CA, SC, TN
In the registry since
2006
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

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Show map & directions

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

Additional practice locations (1)

  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-6440 — (615) 322-3000

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 88397 (SC)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 58651 (TN)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence A119480 (CA)

Record details

NPI number1164491379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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