Stephen Mosley PA-C LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

STEPHEN MOSLEY PA-C LLC

Practice address

64 Pine Knoll LN
Santa Rosa Beach, FL 32459-4588

Phone

(770) 757-2190

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Stephen Mosley, PA-CNPI 1407182421

Title

President

Phone

(770) 757-2190

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Jacob Mosley, PA-C

  • Medical Physician Assistant
  • Santa Rosa Beach, FL
  • NPI 1407182421
  Medicare reassignment Care Compare group Authorized official
• Kimberly Anne Berggren, PA-C

  • Physician Assistant
  • Eglin Afb, FL
  • NPI 1730349242
  Medicare reassignment Care Compare group NPD
• Millard Storms Jr., PA-C

  • Medical Physician Assistant
  • Eglin Afb, FL
  • NPI 1942649884
  Medicare reassignment Care Compare group NPD
• Lauren Karesh, CNP

  • Nurse Practitioner
  • Santa Rosa Beach, FL
  • NPI 1114401379
  Medicare reassignment NPD
• Jarrod D Roussel, PA.-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1538134721

  FL

  Medicare reassignment

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1083379366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PINE KNOLL LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594588",
            "telephone_number": "770-757-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PINE KNOLL LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594588",
            "telephone_number": "770-757-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MOSLEY PA-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-757-2190",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spa Blu
• Anna Carolina Spilere Furlan, MD
• Mark Springer, DC
• Cheryl Lynn Stacy, LCSW. MSW, MPH
• Benjamin Louie Stalnaker Jr., M.D.
• Joy Anna Stephens
• Stethoscope in Home Care LLC
• Michael A Stickler, M.D.
• Stone Clinical Laboratories of FL LLC
• Erin Stone

• Physician Assistant in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.