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

Mr. Frederick Earl Moore Jr.

Individual provider Contractor · NPI 1396551842

Mr. Frederick Earl Moore Jr. is a Contractor in Greenwood, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

907 Mississippi Ave
Greenwood, MS 38930-5220
Phone: (662) 458-1982
Show map & directions

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

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Contractor Taxonomy 171W00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Transportation Broker Taxonomy 347E00000X

Record details

NPI number1396551842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Other providers in Greenwood