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Deactivated NPI 1184293011 Deactivated / Inactive NPI Female Practitioner

Meagan Moore , PA-C

Physician Assistant • Keller, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Meagan Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2021
NPI Deactivation Date March 18, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Meagan Moore, PA-C was a registered Physician Assistant practicing in Keller, TX. Throughout an active medical career spanning 3 years, Meagan Moore provided care at the practice location at 100 BOURLAND RD STE 170 until profile deactivation on 2024-03-18.

Practice Location & Contact Primary Location

Practice Address

100 Bourland Rd Ste 170

Keller, TX 762483592

Telephone 8177412001

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Keller, TX (11140 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dillon Wade , PA-C

Physician Assistant - Medical

NPI 1023523644

Physician Assistant (Certified)

Dr. Roger Tolar , MD

Family Medicine

NPI 1255365276

Doctor of Medicine (M.D.)

Casey Elliott , PA-C

Physician Assistant

NPI 1598951733

Physician Assistant (Certified)

Michelle Hill , NP

Nurse Practitioner - Family

NPI 1598965089

Nurse Practitioner

Holly Roberts , PA

Physician Assistant

NPI 1932429693

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated March 18, 2024

Record deactivated on March 18, 2024

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Updated Practice Location April 22, 2023

Registered at 320 MORRISON PARK DR STE 120, SOUTHLAKE, TX 760921357 (Tel: 8176785388)

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Updated Business Mailing Address April 22, 2023

Registered at 300 MORRISON PARK DR STE 120, SOUTHLAKE, TX 760921486 (Tel: 8176785388)

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Provider Name / Credentials Updated April 22, 2023

Recorded as MEAGAN LONG, PA-C

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Updated Practice Location December 13, 2021

Registered at 5913 VIRGINIA PKWY STE 300, MCKINNEY, TX 750715627 (Tel: 9725424646)

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Updated Business Mailing Address December 13, 2021

Registered at 5913 VIRGINIA PKWY STE 300, MCKINNEY, TX 750715627 (Tel: 9725424646)

NPI Profile Active June 24, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2021

Registered at 100 BOURLAND RD STE 170, KELLER, TX 762483592 (Tel: 8177412001)

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Updated Business Mailing Address June 24, 2021

Registered at 100 BOURLAND RD STE 170, KELLER, TX 762483592 (Tel: 8177412001)

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Provider Name / Credentials Updated June 24, 2021

Recorded as MEAGAN MOORE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Physician Assistant

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Initial NPI Registration & Enumeration June 24, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184293011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2021
Last Update: June 24, 2021
Deactivation Date: March 18, 2024

Mailing Address

100 Bourland Rd Ste 170

Keller, TX 762483592

Phone: 8177412001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.