Active NPI
Patricia B. Moss, APRN,CS,BC, LPC, NCC
- Adult Psychiatric/Mental Health Registered Nurse
- Augusta, GA
National Provider Identifier
1619014099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN043959
- Practice address
- 2618 Chaucer Dr
Augusta, GA 30909-6588 - Phone
- (706) 373-7900
- Fax
- (877) 748-6950
- NPI assigned
- Feb 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN043959 | GA | Primary |
| Professional Counselor | 101YP2500X | LPC002573 | GA |
Addresses
Primary practice location
2618 Chaucer Dr
Augusta, GA 30909-6588
Mailing address
2618 Chaucer Dr
Augusta, GA 30909-6588
Phone (706) 373-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006429956A | Medicaid | GA |
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002573 | GA | MD | Professional Counselor |
| RN043959 | GA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1619014099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 CHAUCER DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096588",
"telephone_number": "706-373-7900",
"fax_number": "877-748-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 CHAUCER DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096588",
"telephone_number": "706-373-7900",
"fax_number": "877-748-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "PATRICIA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "APRN,CS,BC, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "GA",
"license": "RN043959",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002573",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006429956A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.