NPIMap

Individual provider Active NPI

Walton Strozier Moseley, M.D.

  • Nephrology Physician
  • North Charleston, SC
National Provider Identifier
1194728311
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
21074 Issued in SC
Practice address
3815 Faber Place Dr
North Charleston, SC 29405-8533
Phone
(843) 767-9312
Fax
(843) 767-9313
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 21074 SC Primary

Addresses

Primary practice location

3815 Faber Place Dr
North Charleston, SC 29405-8533

Mailing address

3815 Faber Place Dr
Charleston, SC 29405-8533
Phone (843) 767-9312

Other identifiers 1

IdentifierTypeStateIssuer
T51636MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000696 SC Practitioner - Nephrology 2567461569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Duke University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Nephrology Associates, LLCGroup PAC ID 9638138209, 18 clinicians

Practice addresses (Care Compare)

3815 Faber Place Dr
North Charleston, SC 29405-8533
Phone (843) 767-9260

Hospital & facility affiliations

  • DaVita Faber Place Dialysis Dialysis facility, Charleston, SC, CCN 422598
  • FMC Hollywood Ravenel Dialysis Clinc Dialysis facility, Ravenel, SC, CCN 422606
  • DaVita Charles Towne Home Program Dialysis facility, Charleston, SC, CCN 422633
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21074SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Nephrology Associates, LLC Nephrology CurrentSince Aug 1, 1999 Accepting new patients
Total Renal Care Inc PastSince Oct 1, 2015 Accepting new patients

Locations

149 Saint James Ave
Goose Creek, SC 29445
Phone (843) 724-3456

3815 Faber Place Dr
North Charleston, SC 29405
Phone (843) 767-9260

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900078
  • Direct secure messaging: waltonmoseley@cnallc.allscriptsdirect.net

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.

Hospital & facility affiliations 8

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1194728311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 FABER PLACE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058533",
            "telephone_number": "843-767-9312",
            "fax_number": "843-767-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 FABER PLACE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058533",
            "telephone_number": "843-767-9312",
            "fax_number": "843-767-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "WALTON",
        "middle_name": "STROZIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "21074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T51636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.