Active NPI
Moses D Everett Jr.
- Pastoral Counselor
- Thomasville, GA
National Provider Identifier
1013759711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 228 Augusta Ave
Thomasville, GA 31792-7003 - Phone
- (229) 225-6682
- NPI assigned
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
228 Augusta Ave
Thomasville, GA 31792-7003
Mailing address
PO Box 2763
Thomasville, GA 31799-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Disciples of Jesus House of Prayer & Deliverance | Pastoral | Current | Accepting new patients |
Locations
228 Augusta Ave
Thomasville, GA 31792
Phone (229) 225-6682
Organizations & group practices 1
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.
-
- Religious Nonmedical Health Care Institution
- Thomasville, GA
- NPI 1972350460
Pastoral
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1013759711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2763",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317992763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 AUGUSTA AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317927003",
"telephone_number": "229-225-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "MOSES",
"middle_name": "D",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.