Kelvin Moss MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GA 054634 Issued in GA

Legal business name

KELVIN MOSS MD PC

Practice address

83 Southside Church St
Ellijay, GA 30540-5400

Phone

(706) 636-6677

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Kelvin Moss, MD

Title

Owner

Phone

(706) 636-6677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1306003603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405400",
            "telephone_number": "706-636-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405400",
            "telephone_number": "706-636-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN MOSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-636-6677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA 054634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Jones, PT
• Tina Jones, LPC013310
• Jumpstart Fitness Inc
• Kathy Romanick Licensed Clinical Social Worker an LLC
• Cheryl M. Keats, LCSW
• Alana Maria Kent, MD
• Kathy Lynn Kinnison, P.T.
• KJC Unlimited
• Megan Louise Konrad, COTA/L
• Barbara Ann Kroninger, DDS

• Family Medicine Physician in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.