Individual provider Active NPI

Sharon Renee Moses, M.D.

  • Specialist
  • Savannah, GA
National Provider Identifier
1518966720
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030154 Issued in GA
Practice address
810 E 66TH St
Savannah, GA 31405-4508
Phone
(912) 352-1167
Fax
(912) 354-5840
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030154 GA Primary

Addresses

Primary practice location

810 E 66TH St
Savannah, GA 31405-4508

Mailing address

810 E 66TH St
Savannah, GA 31405-4508
Phone (912) 352-1167

Other identifiers 1

IdentifierTypeStateIssuer
000426753AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315003173 GA Practitioner - Obstetrics/Gynecology 3375989031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
030154GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's/Candler OB/GYN Practice, LLC CurrentSince Feb 1, 2024 Accepting new patients
Karen L Fehr Dalessandromdpc Specialist Past Accepting new patients

Locations

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

5356 Reynolds St
Ste 302
Savannah, GA 31405
Phone (912) 721-9595

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518966720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054508",
            "telephone_number": "912-352-1167",
            "fax_number": "912-354-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054508",
            "telephone_number": "912-352-1167",
            "fax_number": "912-354-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "030154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000426753A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.