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Spencer Keith Moore , CW

Case Manager/Care Coordinator • Jackson, TN

Active NPI 1770928517 Individual Practitioner Male Practitioner
Practice location in NPPES

1804 Highway 45 Byp, Suite 604
Jackson, TN 383054436

Call 7316607971 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1804 Highway 45 Byp
Suite 604

Jackson, TN 383054436

Telephone 7316607971
Fax 7316608739
Organization at the Same NPPES Address or Phone
Jackson-Madison County General Hospital Facility NPI 1104816966

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Tennessee

112 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Jackson, TN (3,453 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 112 clinicians have the CMS telehealth indicator.

0% of these 112 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

29 listed
Dr. Alfred Aiyanyor , DO, MPH

Internal Medicine - Infectious Disease

NPI 1245790658

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Daisy Antique , MD

Internal Medicine

NPI 1447227939

Doctor of Medicine (M.D.)

Melissa Bolton , APN

Nurse Practitioner

NPI 1306026950

Advanced Practice Nurse

Carolyn Crawford , LPC

Counselor - Professional

NPI 1285781211

Licensed Professional Counselor

Dr. Joan Crenshaw , MD

Student in an Organized Health Care Education/Training Program

NPI 1003676735

Doctor of Medicine (M.D.)

NPI 1679068712

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 07, 2013.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1770928517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2013
Last Update: September 08, 2014
Sole Proprietor: No

Mailing Address

2035 Saint John Ave

Dyersburg, TN 380242209

Phone: 7315418200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.