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

Mr. Norman Blake Moore Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1225030372

Mr. Norman Blake Moore Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in West Columbia, South Carolina. Qualified in 2016, 10 years ago. Practices with Lexington Health Inc, a 903-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Mississippi and South Carolina.

Years since qualifying
10
Licensed in
AL, MS, SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone: (803) 935-8538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 261-3606

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26371 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1-090700 (AL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 901401 (MS)

Record details

NPI number1225030372
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJune 1, 2005
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lexington Health Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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