Michael Mosley

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-100021 Issued in AL

Practice address

1955 Sand Rock Ave
Sandrock, AL 35983-4327

Phone

(256) 523-6288

Fax

(256) 523-6299

NPI assigned

Apr 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Family First Health Clinic at the Rock

  • Family Nurse Practitioner
  • Sandrock, AL
  • NPI 1275899031
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1376962183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SAND ROCK AVE",
            "city": "SANDROCK",
            "state": "AL",
            "postal_code": "359834327",
            "telephone_number": "256-523-6288",
            "fax_number": "256-523-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SAND ROCK AVE",
            "city": "SANDROCK",
            "state": "AL",
            "postal_code": "359834327",
            "telephone_number": "256-523-6288",
            "fax_number": "256-523-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-100021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Marie Rains Gossett, CRNP
• Tammie Mullins Graves, C.N.A.
• Leesburg Pharmacy, Inc. Dba Lookout Mountain Pharmacy
• Magnolia Medical LLC
• The Family First Health Clinic at the Rock

• All providers in Sandrock, AL
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.