OrganizationActive
Charles a Moore
NPI 1659551935 · Clinic/Center · Middlesboro, KY
Provider details
- NPI number
- 1659551935
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Moore, Owner(606) 248-0090
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 N 19th St
Suite 201
Middlesboro, KY 40965-2865
Phone: (606) 248-7630
Fax: (606) 248-8803
Street-level locationGet directions
Mailing address
Po Box 309
Middlesboro, KY 40965-0309
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.