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

Wilesha Shanise Moore, PA-C

Individual provider Physician Assistant · NPI 1659136240

Wilesha Shanise Moore, PA-C is a Physician Assistant in Greenville, South Carolina. Qualified in 2025, 1 year ago. Works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

545 W Butler Rd
Greenville, SC 29607-4833
Phone: (864) 299-1990
Fax: (864) 299-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2555 N Pleasantburg Dr, Greenville, SC 29609-3030 — (864) 609-4008

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6106 (SC)

Record details

NPI number1659136240
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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