Active NPI
Helen Amelia Moses, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Sumter, SC
National Provider Identifier
1124384631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 77082
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77082 | GA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Charleston ENT Associates, LLC | Current | 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
- helen.moses.1@17099.direct.athenahealth.com
- 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.
-
- Otolaryngology Physician
- Charleston, SC
- NPI 1588607303
Otolaryngology/Facial Plastic Surgery
-
- Ambulatory Surgical Clinic/Center
- Charleston, SC
- NPI 1124026422
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.