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

Lee Ellis Moore, MD

Individual provider Internal Medicine Physician · NPI 1699156950

Lee Ellis Moore, MD is an Ophthalmology in Madison, Mississippi. Graduated from University of Mississippi School of Medicine in 2015, 11 years ago. Practices with Rayner Eye Clinic, LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi, North Carolina and Oklahoma.

Years since qualifying
11
Trained at
University of Mississippi School of Medicine
Licensed in
MS, NC, OK
In the registry since
2015
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

501 Baptist Dr Ste 220
Madison, MS 39110-2031
Phone: (601) 985-9120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 — (405) 271-7816

Specialties & licences

Cornea and External Diseases Specialist Physician (primary) Taxonomy 207WX0120X · Licence 27439 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 209770 (NC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 34523 (OK)

Record details

NPI number1699156950
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing address501 Baptist Dr Ste 220, Madison, MS 39110-2031

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Rayner Eye Clinic, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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