Seaborn Thomas Moss, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021559 Issued in GA

Practice address

2016 Redmond Cir NW
Rome, GA 30165-1322

Phone

(706) 232-6010

Fax

(706) 234-4971

NPI assigned

Nov 6, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1174703250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 REDMOND CIR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651322",
            "telephone_number": "706-232-6010",
            "fax_number": "706-234-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 REDMOND CIR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651322",
            "telephone_number": "706-232-6010",
            "fax_number": "706-234-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SEABORN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "021559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428304B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00650906",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lance Morris, CAA
• Stephen Morris, PTA
• James W Moseley, M.D
• Susan Leslie Mosley, LAC
• Patrick Grant Moss, CRNA
• Thomas Hudson Moss IV, DPT
• Mt Berry Hospice Inc.
• Katherine Michelle Mueller, APRN, BC
• Sobia Mujtaba, M.D., MPH
• Richard L Muller Jr., DDS

• Family Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.