Active NPI
Denise Elizabeth Moroz, APRN
- Nurse Practitioner
- Kingsland, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN167793
- Practice address
- 1481 Hwy 40 E
Kingsland, GA 31548-6507 - Phone
- (912) 576-6865
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN167793 | GA | Primary |
Addresses
Primary practice location
1481 Hwy 40 E
Kingsland, GA 31548-6507
Mailing address
1481 Hwy 40 E
Kingsland, GA 31548-6507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3435 2ND St S
Folkston, GA 31537-8447
Phone (912) 496-0041
96279 Brady Point Rd
Fernandina Beach, FL 32034-7076
Phone (904) 321-0088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN167793 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amelia Medical Services, LLC | Current | Accepting new patients | |
| Amelia Urgent Care LLC | Current | Accepting new patients | |
| Amelia Urgent Care LLC | Current | Accepting new patients | |
| Amelia Medical Services, LLC | Current | Accepting new patients |
Locations
96279 Brady Point Rd
Fernandina Beach, FL 32034
Phone (904) 321-0088
510 Airport Center Dr
Ste 109
Jacksonville, FL 32218
Phone (904) 636-0055
3435 Second St S
Folkston, GA 31537
Phone (912) 390-0058
1481 Highway 40 E
Kingsland, GA 31548
Phone (912) 576-2565
Organizations & group practices 4
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.
-
dba Amelia Medical Care, Kingsland
- Primary Care Clinic/Center
- Kingsland, GA
- NPI 1982910048
-
- Urgent Care Clinic/Center
- Fernandina Beach, FL
- NPI 1841366812
-
dba Amelia Medical Care, Folkston
- Family Medicine Physician
- Folkston, GA
- NPI 1063825842
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1982844163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1467947838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 HWY 40 E",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 HWY 40 E",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486507",
"telephone_number": "912-576-6865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROZ",
"first_name": "DENISE",
"middle_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN167793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.