Jesse D Moore MD
Jesse D Moore MD is a healthcare organization registered as Family Medicine Physician in Augusta, AR, holding Type 2 (organization) NPI 1790718906 since 2006. The authorized official on file is Jesse Moore, MD.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790718906 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jesse D Moore MD |
| Practice address | HIGHWAY 64 EAST, Augusta, AR, 72006 |
| Phone | 8703472568 |
| Fax | 8703472560 |
| Enumeration date | 2006-07-09 |
| Last updated in NPPES | 2007-09-27 |
Authorized official
| Name | Jesse Moore |
|---|---|
| Title | MD |
| Phone | 8703472568 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Jesse D Moore MD NPI: 1790718906 Taxonomy: 207Q00000X (Family Medicine Physician) Address: HIGHWAY 64 EAST, Augusta, AR, 72006
Verify this record
Cross-check NPI 1790718906 against the authoritative CMS record: view Jesse D Moore MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jesse D Moore MD?
Who is the authorized official for Jesse D Moore MD?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-27.