Individual provider Active NPI

Jeremy Moses, PA-C

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1184000820
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05865 Issued in NC
Practice address
1824 Pisgah Dr
Hendersonville, NC 28791-3759
Phone
(828) 694-8427
Fax
(828) 694-8428
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05865 NC Primary

Addresses

Primary practice location

1824 Pisgah Dr
Hendersonville, NC 28791-3759

Mailing address

800 N Justice St # 16
Hendersonville, NC 28791-3410
Phone (828) 694-8350

Other practice location 1

3334 Boylston Hwy
Suite 10
Mills River, NC 28759-4103
Phone (828) 694-8100

Other practice location 2

2695 Hendersonville Rd
Arden, NC 28704-8576
Phone (828) 651-6350

Other practice location 3

212 Thompson St
Hendersonville, NC 28792-2806
Phone (828) 697-3232

Other identifiers 3

IdentifierTypeStateIssuer
19ELCOtherNCBCBS NC
P01548044OtherNCRR MEDICARE
NCP403AOtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151018000000 NC Practitioner - Physician Assistant 1456660240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1824 Pisgah Dr
Hendersonville, NC 28791-3759
Phone (828) 694-8427

271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2018 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Pardee Neurology Associates CurrentSince Sep 1, 2018 Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

212 Thompson St
Hendersonville, NC 28792
Phone (828) 696-1000

1824 Pisgah Dr
Hendersonvlle, NC 28791
Phone (828) 692-8045

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: jmoses136962@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1184000820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST # 16",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-694-8350",
            "fax_number": "828-694-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 PISGAH DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913759",
            "telephone_number": "828-694-8427",
            "fax_number": "828-694-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3334 Boylston Hwy",
            "address_2": "Suite 10",
            "address_purpose": "LOCATION",
            "city": "Mills River",
            "state": "NC",
            "postal_code": "287594103",
            "country_code": "US",
            "telephone_number": "828-694-8100",
            "fax_number": "828-694-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-651-6350",
            "fax_number": "828-654-8152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287922806",
            "country_code": "US",
            "telephone_number": "828-697-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "19ELC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01548044",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCP403A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.