Active NPI
Michael Dennis Moxley, MD
- Obstetrics & Gynecology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 85994
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 789-1892
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101053106 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 85994 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other practice location 1
2955 Ivy Rd Ste 304
Charlottesville, VA 22903-9353
Phone (434) 243-4570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9223 | Other | SC | MEDICARE SC PTAN |
| 859949 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.moxley@rsfpp.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, SC, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060321000362 | VA | Practitioner - Obstetrics/Gynecology | 9931116662 | Reassigns benefits to 2 organizations |
| I20140826001175 | DC | Practitioner - Obstetrics/Gynecology | 9931116662 | Reassigns benefits to 1 organization |
| I20210604002048 | SC | Practitioner - Obstetrics/Gynecology | 9931116662 | Reassigns benefits to 10 organizations |
| I20250709003470 | DE | Practitioner - Obstetrics/Gynecology | 9931116662 | Reassigns benefits to 1 organization |
| I20251125004012 | MD | Practitioner - Obstetrics/Gynecology | 9931116662 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Virginia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85994 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Obhg South Carolina PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Fetter Health Care Network Inc | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| DHP of Pennsylvania PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Delaware, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Fetter Health Care Network, Inc | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| NMG Affiliate Practice I, LLC | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Roper Hospital, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| DHP of the Commonwealth PC | Obstetrics & Gynecology | Past | Accepting new patients |
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Tidalhealth Nanticoke, Inc | Past | Accepting new patients |
Locations (25 of 30)
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
51 Nassau St
Charleston, SC 29403
1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
5133 Rivers Ave
North Charleston, SC 29406
Phone (843) 789-1786
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600
300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
700 S Washington St
Ste 330
Alexandria, VA 22314
Phone (703) 528-8260
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1635 N George Mason Dr
Ste 115
Arlington, VA 22205
Phone (703) 558-8501
1625 N George Mason Dr
Ste 345
Arlington, VA 22205
Phone (703) 717-4400
1701 N George Mason Dr
#414
Arlington, VA 22205
Phone (703) 558-5490
1715 N George Mason Dr
Ste 409
Arlington, VA 22205
Phone (703) 243-5960
Interoperability endpoints
- mmoxley13868@direct.virginiahospitalcenter.net
- mmoxley520929@direct.musc.edu
Organizations & group practices 27
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
SC
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1003827304
SC
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1457007841
SC
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1518454818
SC
-
- Federally Qualified Health Center (FQHC)
- Moncks Corner, SC
- NPI 1659872059
SC
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1982124301
SC
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1538457361
Obstetrics & Gynecology, SC
-
- Obstetrics & Gynecology Physician
- Seaford, DE
- NPI 1558000919
DE, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Salisbury, MD
- NPI 1427313717
MD, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1972807394
Obstetrics & Gynecology, VA
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
Hospital
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
Hospital
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1437147758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-789-1892"
}
],
"practiceLocations": [
{
"address_1": "2955 Ivy Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229039353",
"country_code": "US",
"telephone_number": "434-243-4570",
"fax_number": "434-295-5491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOXLEY",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101053106",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "85994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SC PTAN",
"identifier": "9223",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "859949",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.moxley@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "300 Callen Blvd Ste 330",
"city": "Summerville",
"state": "SC",
"country_code": "US",
"postal_code": "294862816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.