Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Samuel C. Moore, FNP-C

Individual provider Family Nurse Practitioner · NPI 1659048460

Mr. Samuel C. Moore, FNP-C is a Nurse Practitioner in Lafayette, Tennessee. Qualified in 2020, 6 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
6
Licensed in
KY, TN
In the registry since
2021
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

502 Ellington Dr
Lafayette, TN 37083-1697
Phone: (615) 561-1042
Fax: (615) 561-1043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29580 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3016346 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29580 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 29580 (TN)

Record details

NPI number1659048460
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 28, 2021
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Fast Pace Medical Clinic PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 738 clinicians in the practice; 12 are shown here.

Other providers in Lafayette