Octavia Moore, NP
NPI 1811360613 · Primary Care Nurse Practitioner · Columbia, SC
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Octavia Moore, NP is a Primary Care Nurse Practitioner provider in Columbia, SC (NPI 1811360613).
Provider details
- NPI number
- 1811360613
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 19732 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 6439 Garners Ferry RdColumbia, SC 29209-1638Phone: (803) 776-4000
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Frequently asked questions
- What is Octavia Moore's NPI number?
- Octavia Moore's National Provider Identifier (NPI) is 1811360613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Octavia Moore's specialty?
- Octavia Moore is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Octavia Moore located?
- Octavia Moore's practice location on file with NPPES is 6439 Garners Ferry Rd, Columbia, SC 29209-1638.
- What is Octavia Moore's phone number?
- The practice phone number listed in the NPPES registry for Octavia Moore is (803) 776-4000.
- Does Octavia Moore accept Medicare?
- Octavia Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Octavia Moore's NPI active?
- Yes — Octavia Moore's NPI (1811360613) is active in the NPPES registry as of the last update on 2020-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.