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

Jonathan Moore

Individual provider Family Medicine Physician · NPI 1780095729

Jonathan Moore is a Family Practice in Madisonville, Kentucky. Graduated from University of Mississippi School of Medicine in 2014, 12 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Trained at
University of Mississippi School of Medicine
Licensed in
KY
In the registry since
2014
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Practice location Address checks out

200 Clinic Dr
Madisonville, KY 42431
Phone: (270) 825-6688
Fax: (270) 825-7266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Clinic Dr, Madisonville, KY 42431-1661 — (270) 825-6688

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 49744 (KY)

Record details

NPI number1780095729
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESJune 13, 2018
Mailing address2501 Kentucky Ave, Paducah, KY 42003-3813

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Madisonville