Olivia Nicole Moore
Physician Assistant · Columbia, SC
Olivia Nicole Moore is a physician assistant with a practice address in Columbia, South Carolina, and NPI 1104513589, issued on Apr 18, 2023. Check the license (South Carolina 4894, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Olivia Nicole Moore
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 4894 SC
Self-reported in NPPES; status is on the state search - Practice location
- 1333 Taylor St Ste 6F, Columbia, SC 29201
- Phone
- (803) 296-3273
- Enumerated
- Apr 18, 2023
- Record last updated
- Jun 28, 2023
- Fax
- (803) 296-7061
- Medicare enrollment
- Enrolled (PECOS I20230712000475); accepts Medicare assignment
- Medical or professional school
- University Of South Carolina School Of Medicine, 2023
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,294 in South Carolina → Look up another NPI →
Also registered at 1333 Taylor St Ste 6F
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Katie FitzgeraldAcute Care Nurse Practitioner1205211430
- Collin Homer-BouthiettePulmonary Disease Physician1447815303
- Erin Morgan, FNP-CFamily Nurse Practitioner1083469332
- Steven Templeton, D.O.Critical Care Medicine (Internal Medicine) Physician1831578822
Verify Olivia Nicole Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 4894Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Prisma Health Medical Group-MidlandsColumbia, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Olivia Nicole Moore among 2,294 physician assistant records in South Carolina
Olivia Nicole Moore is one of 2,294 physician assistant records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 76% of them.
- NPI issued2023 · 76% of these records are older, 17% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2023 · median 2019 among the 1,516 with a school on file
- Record last updated2023 · 31% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
247 physician assistant records list a practice address in Columbia
They are 247 of the 11,200 NPPES records with a practice address in Columbia, and 2,294 physician assistant records in South Carolina.
All 2,294 in South Carolina → Every provider in Columbia → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Lauren Anton, PA-CColumbia, SC 292011629687322
- Erica Berry, PA-CColumbia, SC 292011275146060
- Briana Fallon, PA-CColumbia, SC 292011700749298
- Marisa Graham, PA-CColumbia, SC 292011194939199
- Kyle Johnson, P.A.Columbia, SC 292011932100039
- Lauren Mothena, PA-CColumbia, SC 292011225383730
- Jessica Roberts, PA-CColumbia, SC 292011942581558
- Mary Ryan, PA-CColumbia, SC 292011326289117
Common questions
What is Olivia Nicole Moore's NPI number?
Olivia Nicole Moore's National Provider Identifier (NPI) is 1104513589, issued on Apr 18, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Olivia Nicole Moore located?
The NPPES record lists a practice address at 1333 Taylor St Ste 6F, Columbia, SC, 29201. Phone: (803) 296-3273. Providers update this record themselves, so call before visiting.
How can I verify Olivia Nicole Moore's license?
NPPES lists South Carolina license number 4894, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.