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

Johnathan Daniel Moore, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1619818929

Johnathan Daniel Moore, MD is an Obstetrics & Gynecology Physician in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2 Medical Park Rd
Columbia, SC 29203-6808
Phone: (803) 434-3020
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence LL96903 (SC)

Record details

NPI number1619818929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2026
Last updated in NPPESJuly 19, 2026
Certification dateJuly 19, 2026

Other providers in Columbia