Active NPI
Anthony M Moser, MD
- Anatomic Pathology & Clinical Pathology Physician
- Moultrie, GA
National Provider Identifier
1063520179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 046462
- Practice address
- 3131 S Main St
Moultrie, GA 31768-6925 - Phone
- (229) 985-7977
- Fax
- (229) 891-9387
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 046462 | GA | Primary |
Addresses
Primary practice location
3131 S Main St
Moultrie, GA 31768-6925
Mailing address
304 Sunset Cir Ste C
PO Box 2047
Moultrie, GA 31768-6930
Phone (229) 985-5675
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046462 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1063520179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SUNSET CIR STE C",
"address_2": "PO BOX 2047",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686930",
"telephone_number": "229-985-5675",
"fax_number": "229-985-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686925",
"telephone_number": "229-985-7977",
"fax_number": "229-891-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "ANTHONY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "046462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.