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

Tyler Moore, PA

Individual provider Physician Assistant · NPI 1982334751

Tyler Moore, PA is a Physician Assistant in Wilmington, North Carolina. Qualified in 2022, 4 years ago. Practices with Utah Imaging Associates Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1025 Medical Center Dr
Wilmington, NC 28401-7354
Phone: (910) 762-3882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14156057-1206 (UT)

Record details

NPI number1982334751
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Utah Imaging Associates Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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