Individual provider Active NPI

Helen Amelia Moses, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sumter, SC
National Provider Identifier
1124384631
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
77082 Issued in GA
Practice address
2783 Brownfield Way
Sumter, SC 29150-2254
Phone
(803) 464-3558
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 77082 GA Primary

Addresses

Primary practice location

2783 Brownfield Way
Sumter, SC 29150-2254

Mailing address

2783 Brownfield Way
Sumter, SC 29150-2254
Phone (803) 464-3558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20181217002346 SC Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 4789958497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77082GAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC Otolaryngology/Facial Plastic Surgery CurrentSince Dec 1, 2020 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2295 Henry Tecklenburg Dr
Charleston, SC 29414

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2801 Devine St
Ste 101
Columbia, SC 29205
Phone (803) 256-7076

Interoperability endpoints

  • Direct secure messaging: helen.moses.1@17099.direct.athenahealth.com
  • Direct secure messaging: helen.moses.p1@direct.entap.nextgenshare.com

Organizations & group practices 2

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1124384631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 BROWNFIELD WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502254",
            "telephone_number": "803-464-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 BROWNFIELD WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502254",
            "telephone_number": "803-464-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "HELEN",
        "middle_name": "AMELIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "77082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.