Individual provider Active NPI

Patricia B. Moss, APRN,CS,BC, LPC, NCC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Augusta, GA
National Provider Identifier
1619014099
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN043959 Issued in GA
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

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006429956AMedicaidGA

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

LicenseStateTypeSpecialty
LPC002573GAMDProfessional Counselor
RN043959GAMDAdult 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.

Verify at the official NPI Registry.