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

Johnny Clifton Moore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235948456

Johnny Clifton Moore is a Nurse Practitioner in Lewisville, Texas. Qualified in 2023, 3 years ago. Practices with North Pointe Psychiatry, PA, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

860 Hebron Pkwy Ste 1101
Lewisville, TX 75057-5147
Phone: (469) 444-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1184125 (TX)

Record details

NPI number1235948456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address4705 Cleves Ave, Aubrey, TX 76227-1881

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Pointe Psychiatry, Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lewisville