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

Mrs. Kristina Moore, PA-C

Individual provider Physician Assistant · NPI 1043615644

Mrs. Kristina Moore, PA-C is a Physician Assistant in Lebanon, Tennessee. Qualified in 2014, 12 years ago. Practices with Premier Orthopaedics and Sports Medicine PLC, a 40-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Physicians Way Ste 110
Lebanon, TN 37090-8102
Phone: (615) 547-6700
Fax: (615) 547-6707
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

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1043615644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2014
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Premier Orthopaedics And Sports Medicine Plc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lebanon