Individual provider Active NPI

Curtis Mosley

  • Clinical Medical Laboratory
  • Douglasville, GA
National Provider Identifier
1083461297
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11D2303453 Issued in GA
Practice address
5846 Stewart Pkwy Ste F
Douglasville, GA 30135-2374
Phone
(404) 539-0821
NPI assigned
May 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11D2303453 GA Primary

Addresses

Primary practice location

5846 Stewart Pkwy Ste F
Douglasville, GA 30135-2374

Mailing address

5846 Stewart Pkwy Ste F
Douglasville, GA 30135-2374
Phone (404) 539-0821

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

State licenses

LicenseStateTypeSpecialty
11D2303453GAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
United Testing Solutions Clinical Medical Laboratory CurrentSince May 12, 2024 Accepting new patients

Locations

5846 Stewart Pkwy
Ste F
Douglasville, GA 30135
Phone (404) 539-0821

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1083461297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 STEWART PKWY STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352374",
            "telephone_number": "404-539-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 STEWART PKWY STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352374",
            "telephone_number": "404-539-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "CURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2303453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.