Active NPI
Denisha L Moss
- Home Health Aide
- Conyers, GA
National Provider Identifier
1558976050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- PCHP015063
- Practice address
- 448 Harris Dr
Conyers, GA 30012-6516 - Phone
- (706) 254-8217
- Fax
- (888) 610-7172
- NPI assigned
- Sep 10, 2020
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | PCHP015063 | GA | Primary |
Addresses
Primary practice location
448 Harris Dr
Conyers, GA 30012-6516
Mailing address
448 Harris Dr
Conyers, GA 30012-6516
Phone (706) 254-8217
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ddhomecare19@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCHP015063 | GA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&D Homecare, LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1558976050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 HARRIS DR",
"city": "CONYERS",
"state": "GA",
"postal_code": "300126516",
"telephone_number": "706-254-8217",
"fax_number": "888-610-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 HARRIS DR",
"city": "CONYERS",
"state": "GA",
"postal_code": "300126516",
"telephone_number": "706-254-8217",
"fax_number": "888-610-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "DENISHA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "GA",
"license": "PCHP015063",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ddhomecare19@yahoo.com",
"affiliation": "N",
"address_1": "448 Harris Dr",
"city": "Conyers",
"state": "GA",
"country_code": "US",
"postal_code": "300126516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.