Active NPI
Donna Martin Moss, LCSW, GC-C
- Clinical Social Worker
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001860
- Practice address
- 1211 Sherwood Park Dr NE Ste B
Gainesville, GA 30501-3444 - Phone
- (770) 219-9179
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW001860 | GA | Primary |
Addresses
Primary practice location
1211 Sherwood Park Dr NE Ste B
Gainesville, GA 30501-3444
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
621 Washington St SW
Suite A
Gainesville, GA 30501-8567
Phone (770) 287-1356
Other practice location 2
1285 Sims St
Gainesville, GA 30501-3851
Phone (770) 219-9179
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmoss6099@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1285 Sims St
Gainesville, GA 30501-3851
Phone (770) 536-0149
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Medical Center, Inc. | Current | Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients |
Locations
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
1285 Sims St
Gainesville, GA 30501
Phone (770) 219-8583
1211 Sherwood Park Dr NE
Ste B
Gainesville, GA 30501
Phone (770) 219-3202
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Rehabilitation Hospital Unit
- Gainesville, GA
- NPI 1720015993
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1285715896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 SHERWOOD PARK DR NE STE B",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013444",
"telephone_number": "770-219-9179"
}
],
"practiceLocations": [
{
"address_1": "621 Washington St SW",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305018567",
"country_code": "US",
"telephone_number": "770-287-1356",
"fax_number": "770-287-3152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1285 Sims St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013851",
"country_code": "US",
"telephone_number": "770-219-9179",
"fax_number": "770-219-9612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "DONNA",
"middle_name": "MARTIN",
"credential": "LCSW, GC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW001860",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmoss6099@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1211 Sherwood Park Dr NE Ste B",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.