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NPISignal

Individual Healthcare Provider

Kayla Anglin Moore, NP-C

NPI Record: ActiveFamily Medicine — Adult Medicine
NPI1578082137
Grenada, Mississippi

Provider's NPPES record last updated: July 17, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1578082137
Primary Specialty
Family Medicine — Adult Medicine
Practice Location
Grenada, Mississippi
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 5:10 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Adult Medicine

    Allopathic & Osteopathic Physicians

    Primary

    The NUCC recommends this code not be used. Choose a more appropriate code.

    Taxonomy code 207QA0505X
  • Family Medicine

    Geriatric Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

    Taxonomy code 207QG0300X
  • Nurse Practitioner

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LP0808X

Provider-Reported License Information

Family Medicine (Mississippi)
902287
Family Medicine (Mississippi)
902287
Nurse Practitioner (Mississippi)
902287
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

960 Avent Dr # 3w

Grenada, Mississippi 38901-5230

Phone: (662) 227-7793

Record Information

Enumeration Date
September 14, 2017
Provider's NPPES Record Last Updated
July 17, 2026
Certification Date
July 17, 2026
NPISignal NPPES Dataset
August 2026

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