Marquita Danielle Moss, FNP
Individual provider Active NPI Family Nurse Practitioner · Dobson, NC
NPI 1457043630 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1457043630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5022773 (NC)
- Practice address
- 105 N Crutchfield St Unit 2
Dobson, NC 27017-8804 - Phone
- (888) 789-2922
- Fax
- (336) 789-0856
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospice of Surry County Inc
Practice addresses (Care Compare)
105 N Crutchfield St
FL 2
Dobson, NC 27017-8804
Phone (888) 789-2922
7599 Carrollton Pike
C
Galax, VA 24333-4269
Phone (276) 728-1030
Hospital & facility affiliations
- Mountain Valley Hospice & Palliative Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251107000303 | VA | Practitioner - Nurse Practitioner | 4385134329 | Reassigns benefits to 2 organizations |
| I20251107003768 | NC | Practitioner - Nurse Practitioner | 4385134329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5022773 | NC | MD | Family Nurse Practitioner |
| 28470A | SC | MD | Family Nurse Practitioner |
| 0024190001 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Surry County, Inc | Current |
Accepting new patients | |
| Signify Health, LLC | Current |
Accepting new patients | |
| Hospice of Surry County, Inc | Current |
Accepting new patients |
Locations
105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922
1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030
730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28470A | SC | |
| Family Nurse Practitioner | 363LF0000X | 0024190001 | VA | |
| Family Nurse Practitioner | 363LF0000X | 5022773 | NC | Yes |
Addresses
Primary practice location
105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Mailing address
105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone (888) 789-2922
Other practice location 1
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000
Other practice location 2
7599 Carrollton Pike Ste C
Galax, VA 24333-6801
Phone (276) 728-1030
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmoss@mtnvalleyhospice.org | Direct |
Other providers in Dobson, NC
- Lifespan, Inc
- Megan Mauzy
- Jerri Goldston Mayberry
- Elizabeth Anne McGurk
- MH Medical Services, PC
- Monica Nichols
- Traci Cheek O'Dell
- Gary Lee Pannabecker
- Emily Megan Park
- Peace Lily Development, Inc.
All providers in Dobson, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.