Individual provider Active NPI

Kali Clement Moseley

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1205521648
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
411 S Prieur St
New Orleans, LA 70112-2239
Phone
(504) 556-3421
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 Primary

Addresses

Primary practice location

411 S Prieur St
New Orleans, LA 70112-2239

Mailing address

411 S Prieur St
New Orleans, LA 70112-2239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230907003745 AL Practitioner - Physician Assistant 5991169013 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Gmuc of Citronelle LLCGroup PAC ID 8426210014, 11 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

19355 N 3Rd St
Citronelle, AL 36522-2049
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

2451 Diberville Dr N
Mobile, AL 36695-3628
Phone (251) 444-4670

4005 N College Ave
Jackson, AL 36545-2024
Phone (251) 744-6084

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

517 S McKenzie St
Foley, AL 36535-1930
Phone (251) 200-4499

7071 Theodore Dawes Rd
Theodore, AL 36582-4077
Phone (251) 240-6240

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Greater Mobile Urgent Care Past Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1205521648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S PRIEUR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S PRIEUR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122239",
            "telephone_number": "504-556-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "KALI",
        "middle_name": "CLEMENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.