Durant Moses, PH.D

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Practice address

221 E Pine St
Swainsboro, GA 30401-3679

Phone

(678) 421-4033

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1114599636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ROBIN RD # B",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013430",
            "telephone_number": "678-421-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E PINE ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013679",
            "telephone_number": "678-421-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "DURANT",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Themedgroup@icloud.com",
            "affiliation": "N",
            "address_1": "221 E Pine St",
            "city": "Swainsboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304013679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Mensah
• Sara Elizabeth Merritt, RPH
• Lisa M Mikell, LMT
• Julie Anna Mixon, FNP-C
• Lindsey K Moore
• Caroline Musa, MD
• Myeyedr Optometry of Georgia LLC
• Paige Neely
• Neesmith DME, LLC
• Eulaunda Nicholson

• Adult Mental Health Clinic/Center in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.