William Kehne Moeller, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

026342 Issued in GA

Practice address

1800 Tree LN
Suite 140
Snellville, GA 30078-2016

Phone

(678) 344-4944

Fax

(678) 344-4947

NPI assigned

Jul 13, 2006

Last updated

Jan 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.87 of 100Reported as individual

Quality

86.27

Improvement activities

40

Cost

74.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Medicine South of Gwinnett LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lawrenceville, GA
  • NPI 1265053110
  Medicare reassignment NPD
• William Kehne Moeller, MD, PC

  • Orthopaedic Surgery Physician
  • Snellville, GA
  • NPI 1598945552
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1114942901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TREE LN",
            "address_2": "SUITE 140",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "678-344-4944",
            "fax_number": "678-344-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TREE LN",
            "address_2": "SUITE 140",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "678-344-4944",
            "fax_number": "678-344-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "WILLIAM",
        "middle_name": "KEHNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "026342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "020558087",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4367",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Mitchell, LPC, NCC
• Nkenge Mitchell, MS, DC
• MNR Home Care Services
• MNR Home Care Services
• Priyanka M. Modi, PHYSICAL THERAPIST
• Fatiya Mohamed, NP
• Alicia Mohr-Kanouff
• Michael Stephen Mojcik, M.D.
• Evelyn Vianey Molina, APRN
• Isata Celia Momoh, NP-C

• Specialist in Snellville, GA
• Providers in Snellville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.