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

Mr. Thomas George Moore Jr., CRNA

Individual provider Critical Care Medicine Registered Nurse · NPI 1902076409

Mr. Thomas George Moore Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in West Columbia, South Carolina. Qualified in 2008, 18 years ago. Practices with Lexington Health Inc, a 903-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
18
Licensed in
SC
In the registry since
2008
Specialties on file
2
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) 791-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3622 (SC)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 88930 (SC)

Record details

NPI number1902076409
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 11, 2008
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lexington Health Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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