Addison Moore
NPI 1205586583ActiveIndividual· Family Medicine, Sports Medicine· Northport, AL
Family Medicine, Sports Medicine in Northport, Alabama, trained at Edward Via Col of Osteo Medicine-Virginia Campus (class of 2022). Part D covered 1,017 prescriptions written in 2024, 78% of them generic.
Overview
| NPI | 1205586583 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 28, 2022 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | DO.3765 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,017 · 1,951 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $176,279 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | Edward Via Col of Osteo Medicine-Virginia Campus |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Family Practice |
Medical group
- Slcm LLCNorthport, AL · 6 clinicians
Hospital affiliation
- Dch Regional Medical CenterTuscaloosa, AL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records