Amanda Carol Dyar Moss, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24518 Issued in SC

Practice address

850 S Pleasantburg Dr Ste 103
Greenville, SC 29607-2445

Phone

(864) 558-0200

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: adyarmoss22628@direct.anmedhealth.net

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1588260277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S PLEASANTBURG DR STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072445",
            "telephone_number": "864-558-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S PLEASANTBURG DR STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072445",
            "telephone_number": "864-558-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAR MOSS",
        "first_name": "AMANDA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzin Smith Durosa, M.D.
• Michele Durovic, OTR/ L
• Stephanie G Dutch, NP
• Tyler Duvall
• Josette Dvorak
• Stephen Howard Dyar Jr., MD
• Christina Dye, AGNP
• Ryan John Dyess
• Jason Dylik, MD
• Dynasty Home Care

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.