Mos LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1396122 Issued in FL

Legal business name

MOS LLC

Doing business as

Down Home Medical

Practice address

256 SW Washington Ave
Madison, FL 32340

Phone

(850) 973-4590

Fax

(850) 973-4929

NPI assigned

Dec 15, 2005

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Williams, ARNPNPI 1437282415

Title

Owner

Phone

(850) 973-4590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Down Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Williams, NP-C

  • Adult Health Nurse Practitioner
  • Madison, FL
  • NPI 1437282415
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Grier Williams, NP-C

  • Family Nurse Practitioner
  • Madison, FL
  • NPI 1427725746
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1194701862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "32341",
            "telephone_number": "850-973-4590",
            "fax_number": "850-973-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SW WASHINGTON AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "32340",
            "telephone_number": "850-973-4590",
            "fax_number": "850-973-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-973-4590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1396122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y1305",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Down Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan McCool, CTRS
• Melanie Hill OD PA (Madison Eye Center)
• Rashaunda Mitchell
• Gloria Mobley, ADMINISTRATOR
• Leroy Whiters Mobley
• Jacara Danielle Mosley Lee, APRN
• Melissa Nash, ARNP
• William Isaac Newman, PT
• Garrett Norman, APRN
• Charles Lee Norris

• Adult Health Nurse Practitioner in Madison, FL
• Providers in Madison, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.