Individual provider Active NPI

Pamela Crawford Moss, AGNP,DNP

  • Gerontology Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1326684598
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5012571 Issued in NC
Practice address
951 Wendover Height Dr
Shelby, NC 28150-3565
Phone
(704) 487-4677
NPI assigned
Nov 22, 2019
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012571 NC
Gerontology Nurse Practitioner 363LG0600X 5012571 NC Primary
Registered Nurse 163W00000X 140252 NC

Addresses

Primary practice location

951 Wendover Height Dr
Shelby, NC 28150-3565

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (980) 295-8574

Other names 1

  • Mrs. Pamela Crawford Moss Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191223001844 NC Practitioner - Nurse Practitioner 0143654202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

706 W King St
Kings Mountain, NC 28086-2708
Phone (980) 487-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012571NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Internal Medicine PLLC CurrentSince Nov 26, 2019 Accepting new patients
Atrium Health Specialty Network Inc CurrentSince Jan 12, 2026 Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

14135 Ballantyne Corporate Pl
Charlotte, NC 28277
Phone (704) 343-3400

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1326684598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "980-295-8574",
            "fax_number": "704-887-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 WENDOVER HEIGHT DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503565",
            "telephone_number": "704-487-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "PAMELA",
        "middle_name": "CRAWFORD",
        "credential": "AGNP,DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012571",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5012571",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "140252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MOSS",
            "middle_name": "CRAWFORD",
            "prefix": "MRS.",
            "credential": "AGNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.