DR. CLINT J MOORE D.O.
NPI 1184064784
Family Medicine - Sports Medicine in Fort Moore, GA

NPI Status: Active since June 27, 2013

Contact Information

6600 VAN AALST BLVD
MARTIN ARMY COMMUNITY HOSPITAL
FORT MOORE, GA
ZIP 31905
Phone: (850) 885-9977

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  • Individual
  • Male
  • Family Medicine
  • Sports Medicine

About CLINT MOORE

This page provides the complete NPI Profile along with additional information for Clint Moore, a primary care provider established in Fort Moore, Georgia with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1184064784 assigned on June 2013. The practitioner's primary taxonomy code is 207QS0010X with license number 1251 (NE). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1184064784
Provider Name
DR. CLINT J MOORE D.O.
Gender
Male
Entity Type
Individual
Location Address
6600 VAN AALST BLVD MARTIN ARMY COMMUNITY HOSPITAL FORT MOORE, GA 31905
Location Phone
(850) 885-9977
Mailing Address
MARTIN ARMY COMMUNIITY HOSPITAL 6600 VAN AALST BLVD BLDG 9250 FORT MOORE, GA 31905
Mailing Phone
(850) 885-9977
Is Sole Proprietor?
No
Enumeration Date
06-27-2013
Last Update Date
01-31-2025
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A primary care provider (PCP) like Clint Moore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
1251
License State
NE
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

1251 (NE)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184064784
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164068716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 0 + 6 + 8 + 7 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1184064784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669851226 BRITTANY BERGENS
Individual
Specialist/Technologist (Athletic Trainer)6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-1533
1083094221 ELIZABETH FRANCIS HUNT LMSW, LMSW-A
Individual
Social Worker (Clinical)6600 VAN AALST BLVD
FT BENNING, GA 31905
(762) 408-4030
1114300910 LORAN CALLIE LANE R.D.
Individual
Dietitian, Registered6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2273
1689041998 JASON WASHINGTON CRNA
Individual
Nurse Anesthetist, Certified Registered6600 VAN AALST BLVD
FORT BENNING, GA 31905
(757) 218-5078
1861774309DR. RYAN MATTHEW GEORGE M.D.
Individual
Otolaryngology6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-3650
1871957431 BENJAMIN PAUL LCSW
Individual
Social Worker (Clinical)6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-4069
1871996280 DONALD ALEXANDER DEGREE PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-3596
1194174987 KIMBERLY HIBBS RDH
Individual
Dental Hygienist6600 VAN AALST BLVD MACH DENTAL CLINIC - ORAL SURGERY
FORT BENNING, GA 31905
(762) 408-3090
1073069738 BRANDON FLETCHER CRNA
Individual
Nurse Anesthetist, Certified Registered6600 VAN AALST BLVD MARTIN ARMY COMMUNITY HOSPITAL
COLUMBUS, GA 31905
(706) 544-2563
1336187558 SAJID R DARVESH MD
Individual
Pediatrics6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2422
1659655629MS. HEATHER NICOLE BOLDEN NP-C
Individual
Nurse Practitioner (Family)6600 VAN AALST BLVD FAMILY MEDICAL HOME MARTIN ARMY COMMUNITY HOSPITAL
FORT BENNING, GA 31905
(762) 408-2705
1366800427 AUTUMN MARIE OAKLEY ATC
Individual
Specialist/Technologist (Athletic Trainer)6600 VAN AALST BLVD
FORT BENNING, GA 31905
(843) 412-5753
1912287673MS. SARA TREMAINE GOSSER MA
Individual
Audiologist6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-3500
1114419785 CHRISTOPHER NATHAN GARNER
Individual
Nurse Practitioner (Family)6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-4095
1508358516DR. CRAIG A CROMER MD
Individual
Student in an Organized Health Care Education/Training Program6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2655
1790268290 JONATHAN BENNETT GALLINGER
Individual
Student in an Organized Health Care Education/Training Program6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2605
1215411103 SAMUEL O'GARRO PA STUDENT
Individual
Physician Assistant6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2605
1235400680 ALLISON DIANE SANCHEZ RD
Individual
Dietitian, Registered6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-0223
1376017988 KENDRA BERNITTA RICHARDSON
Individual
Social Worker6600 VAN AALST BLVD
FORT BENNING, GA 31905
(706) 544-2273
1609435148 DAVID MICHAEL HAMM DO
Individual
Student in an Organized Health Care Education/Training Program6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2532

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184064784, enumerated in the NPI registry as an "individual" on June 27, 2013

The provider is located at 6600 Van Aalst Blvd Martin Army Community Hospital Fort Moore, Ga 31905 and the phone number is (850) 885-9977

The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

This NPI record was last updated on June 27, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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