Individual provider Active NPI

Mouza Goova

  • Surgery Physician
  • Albemarle, NC
National Provider Identifier
1548339146
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2012-01065 Issued in NC
Practice address
105 Yadkin St
Suite 203
Albemarle, NC 28001-3449
Phone
(980) 323-5300
NPI assigned
Nov 7, 2006
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2012-01065 NC Primary

Addresses

Primary practice location

105 Yadkin St
Suite 203
Albemarle, NC 28001-3449

Mailing address

105 Yadkin St
Albemarle, NC 28001-3449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070301000351 TX Practitioner - General Surgery 5395847859 Reassigns benefits to 2 organizations
I20171115002246 NC Practitioner - General Surgery 5395847859 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-01065NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jun 6, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 13, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 13, 2017 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Regional Employee Assistance Program Inc Surgery Current Accepting new patients
Sherman MD Provider Inc Surgery CurrentSince Feb 1, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Nov 13, 2017 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jun 6, 2019 Accepting new patients
Sherman MD Provider Inc Surgery CurrentSince Feb 1, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Nov 13, 2017 Accepting new patients
Mercy Med Care Inc. Past Accepting new patients
Scranton Clinic Company LLC Past Accepting new patients

Locations

105 Yadkin St
Albemarle, NC 28001

105 Yadkin St
Ste 203
Albemarle, NC 28001
Phone (704) 403-2760

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Interoperability endpoints

  • Direct secure messaging: mouzagoova@wnjrmc.allscriptsdirect.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1548339146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "SUITE 203",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "980-323-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOVA",
        "first_name": "MOUZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2012-01065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.