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

Michael Radford Moore, MD

Individual provider Family Medicine Physician · NPI 1477682102

Michael Radford Moore, MD is a Family Practice in Lenoir City, Tennessee. Qualified in 2005, 21 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
21
Licensed in
TN, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

423 Medical Park Dr Ste 100
Lenoir City, TN 37772-5641
Phone: (865) 271-6600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42039 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence P3205 (TX)

Record details

NPI number1477682102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022
Mailing address423 Medical Park Dr Ste 100, Lenoir City, TN 37772-5641

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lenoir City