Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861504326 Individual Practitioner Male Practitioner

Mark G. Moore , PA-C

Physician Assistant • Fort Lee, VA

Professional Overview & Biography Verified Profile Summary

Mark Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Lee, VA. Practice services are available at 700 24TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 24th St

Fort Lee, VA 238011716

Telephone 8047349867
Fax 8778741008
Associated Practice Facility / Clinic
🏢 Kenner Army Health Clinic Facility NPI 1356330641

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Lee, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Fort Lee, VA (4432 Statewide)

Telehealth Adoption Rate
6.2% 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

CMS Verified: 2025-06-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 3260

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

40 Associated Practitioners
Patricia Coburn , FNP-BC

Nurse Practitioner - Family

NPI 1073655155

Family Nurse Practitioner (Board Certified)

Gary Arakelian , LCSW

Social Worker - Clinical

NPI 1073662177

Licensed Clinical Social Worker

Monica Zimmerman , PTA

Physical Therapy Assistant

NPI 1083068944

Physical Therapist Assistant

Jo Cordery , LCSW

Social Worker - Clinical

NPI 1083694871

Licensed Clinical Social Worker

Angela Waddy , ACSW, LCSW, BCD

Social Worker - Clinical

NPI 1104880632

Academy of Certified Social Workers, Licensed Clinical Social Worker, BCD

Jasmine Taborn

Physician Assistant

NPI 1174281380

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2011

Registered at 700 24TH ST, FORT LEE, VA 238011716 (Tel: 8047349942)

📍
Updated Business Mailing Address May 09, 2011

Registered at 700 24TH ST, FORT LEE, VA 238011716 (Tel: 8047349942)

👤
Provider Name / Credentials Updated May 09, 2011

Recorded as MARK MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2011

Physician Assistant (License #3260 in GA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

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: 1861504326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 13, 2025
Sole Proprietor: Yes

Mailing Address

700 24th St

Fort Lee, VA 238011716

Phone: 8047349867

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.