Individual provider Active NPI

Joel Tumaliuan Moats

  • Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1396477808
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP204844 Issued in GA
Practice address
100 S Madison St
Thomasville, GA 31792-5473
Phone
(229) 236-0831
NPI assigned
Jun 24, 2022
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP204844 GA Primary

Addresses

Primary practice location

100 S Madison St
Thomasville, GA 31792-5473

Mailing address

608 N Kevin CT
Statesboro, GA 30461-2743
Phone (912) 690-0830

Other identifiers 1

IdentifierTypeStateIssuer
RN204844OtherGAGEORGIA BOARD OF NURSING

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002292 GA Practitioner - Nurse Practitioner 1456735851 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians

Practice addresses (Care Compare)

1067 Peachtree St
Louisville, GA 30434-1558
Phone (478) 625-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP204844GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Jul 28, 2022 Accepting new patients
Southland Consolidated Emergency Services, LLC CurrentSince Jul 28, 2022 Accepting new patients
Southland Optim Screven Emergency Medical Services LLC CurrentSince Sep 3, 2023 Accepting new patients
Hospital Authority of Washington County CurrentSince Feb 1, 2023 Accepting new patients
Hospital Authority of Washington County CurrentSince Feb 1, 2023 Accepting new patients

Locations

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

Organizations & group practices 5

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 3

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1396477808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N KEVIN CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304612743",
            "telephone_number": "912-690-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-236-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATS",
        "first_name": "JOEL",
        "middle_name": "TUMALIUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP204844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "RN204844",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.