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

Tasha M Moore, APRN

Individual provider Nurse Practitioner · NPI 1114417789

Tasha M Moore, APRN is a Nurse Practitioner in Timmonsville, South Carolina. Qualified in 2017, 9 years ago. Practices with Colonial Family Practice LLC, a 57-clinician group and works from 3 locations. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2018
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

210 E Market St
Timmonsville, SC 29161-1812
Phone: (843) 346-3730
Show map & directions

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

Additional practice locations (2)

  • 2124 Mechanicsville Rd, Florence, SC 29501-1374 — (843) 862-5152
  • 1053 Center Street, West Columbia, SC 29169 — (800) 491-0909

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21515 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 21515 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 21515 (SC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 21515 (SC)

Record details

NPI number1114417789
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Colonial Family Practice Llc — 57 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare