OrganizationActive
O Fred Moore III MD PC
NPI 1720208242 · Surgery Physician · Dyersburg, TN
O Fred Moore III MD PC is a Surgery Physician organization in Dyersburg, TN (NPI 1720208242).
Provider details
- NPI number
- 1720208242
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olyn Moore, President of Corporation(731) 285-5244
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
503 Tickle Street
Dyersburg, TN 38024
Phone: (731) 285-5244
Fax: (731) 285-5244
Street-level locationGet directions
Mailing address
503 Tickle Street
Dyersburg, TN 38024
Other names (DBA / former)
- Doing business as
- Drs James a Caylor & O Fred Moore III
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is O Fred Moore III MD PC's NPI number?
- O Fred Moore III MD PC's National Provider Identifier (NPI) is 1720208242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is O Fred Moore III MD PC?
- O Fred Moore III MD PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is O Fred Moore III MD PC located?
- O Fred Moore III MD PC's practice location on file with NPPES is 503 Tickle Street, Dyersburg, TN 38024.
- What is O Fred Moore III MD PC's phone number?
- The practice phone number listed in the NPPES registry for O Fred Moore III MD PC is (731) 285-5244.
- Who is the authorized official for O Fred Moore III MD PC?
- The authorized official listed on O Fred Moore III MD PC's NPPES record is Olyn Moore, President of Corporation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is O Fred Moore III MD PC's NPI active?
- Yes — O Fred Moore III MD PC's NPI (1720208242) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.