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

Kayla Anglin Moore, NP-C

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1578082137

Kayla Anglin Moore, NP-C is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2017, 9 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

960 Avent Dr # 3W
Grenada, MS 38901-5230
Phone: (662) 227-7793
Fax: (662) 227-7723
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 902287 (MS)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 902287 (MS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 902287 (MS)

Record details

NPI number1578082137
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount