Active NPI
Patti K Moseley, MD
- Pediatrics Physician
- Anderson, SC
National Provider Identifier
1609835511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19558
- Practice address
- 2000 E Greenville St
Ste 3000
Anderson, SC 29621 - Phone
- (864) 224-1055
- Fax
- (864) 224-3773
- NPI assigned
- Mar 20, 2006
- Last updated
- Sep 20, 2010
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19558 | SC | Primary |
Addresses
Primary practice location
2000 E Greenville St
Ste 3000
Anderson, SC 29621
Mailing address
2000 E Greenville St
Ste 3000
Anderson, SC 29621
Phone (864) 224-1055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195586 | Medicaid | SC | |
| GP5476 | Medicaid | SC |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Past | Accepting new patients |
Interoperability endpoints
- pmoseley8441@direct.anmedhealth.net
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.
-
dba AnMed Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Anderson, SC
- NPI 1366853392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1609835511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST",
"address_2": "STE 3000",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-224-1055",
"fax_number": "864-224-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST",
"address_2": "STE 3000",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-224-1055",
"fax_number": "864-224-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "PATTI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "19558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195586",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5476",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.