Individual provider Active NPI

William Clement Moss Jr., P.A.

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1013319037
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200761 Issued in LA
Practice address
8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone
(225) 924-2424
Fax
(225) 408-7984
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200761 LA Primary

Addresses

Primary practice location

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827

Mailing address

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

Other practice location 1

7566 Picardy Ave
Baton Rouge, LA 70808-4333
Phone (225) 765-5500

Other identifiers 1

IdentifierTypeStateIssuer
2375211MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120002073 LA Practitioner - Physician Assistant 0840412185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Orthopaedic Clinic LLCGroup PAC ID 3274446414, 142 clinicians

Practice addresses (Care Compare)

5000 Odonavan Blvd
Suite 514
Walker, LA 70785-6353
Phone (225) 380-1312

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

Hospital & facility affiliations

  • Surgical Specialty Center of Baton Rouge Hospital, Baton Rouge, LA, CCN 190251
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200761LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Physician Assistant CurrentSince Feb 9, 2026 Accepting new patients
Baton Rouge Orthopaedic Clinic CurrentSince Sep 17, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Feb 9, 2026 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC CurrentSince Sep 17, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC Physician Assistant Past Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

7566 Picardy Ave
Baton Rouge, LA 70808
Phone (225) 767-3115

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1013319037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD STE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7566 Picardy Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084333",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-256-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "WILLIAM",
        "middle_name": "CLEMENT",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2375211",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.