Zachary Gordon Moss

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

223 Pine Branch Cir
Columbus, GA 31909-2121

Phone

(706) 566-2569

NPI assigned

Sep 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Zack Gordon Moss Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1417507393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PINE BRANCH CIR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092121",
            "telephone_number": "706-566-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PINE BRANCH CIR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092121",
            "telephone_number": "706-566-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ZACHARY",
        "middle_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACK",
            "last_name": "MOSS",
            "middle_name": "GORDON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James C. Mosley III, D.C.
• Joann Mosley
• Sherri Lynette Mosley, D.C.
• Adele Moss
• Steven G Moss, CRNA
• Motherwell LLC
• Motivating Behavioral Solutions Corporation
• Shabbir Motiwala, MD
• Gloria Mott, RN
• Melody Moulton

• Athletic Trainer in Columbus, GA
• Providers in Columbus, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.