Individual provider Active NPI

Jason Belmont Moye, MD

  • Obstetrics & Gynecology Physician
  • Bainbridge, GA
National Provider Identifier
1629255252
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
64420 Issued in GA
Practice address
1501 Miluli Ave
Bainbridge, GA 39819-5700
Phone
(229) 243-3360
Fax
(229) 246-9945
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 64420 GA Primary

Addresses

Primary practice location

1501 Miluli Ave
Bainbridge, GA 39819-5700

Mailing address

1501 Miluli Ave
Bainbridge, GA 39819-5700
Phone (229) 243-3360

Other identifiers 1

IdentifierTypeStateIssuer
412020198AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000274 GA Practitioner - Obstetrics/Gynecology 5597896522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

Hospital & facility affiliations

  • Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Southwest Georgia, Inc CurrentSince Aug 1, 2023 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Aug 1, 2023 Accepting new patients
Primary Care of Southwest Georgia, Inc. Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Georgi CurrentSince Jul 8, 2010 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County CurrentSince Jul 8, 2010 Accepting new patients

Locations

1501 Miluli Ave
Bainbridge, GA 39819
Phone (229) 243-0152

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

360 College St
Blakely, GA 39823
Phone (229) 723-2660

Interoperability endpoints

  • Direct secure messaging: jason.moye@mh-m.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1629255252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195700",
            "telephone_number": "229-243-3360",
            "fax_number": "229-246-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195700",
            "telephone_number": "229-243-3360",
            "fax_number": "229-246-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYE",
        "first_name": "JASON",
        "middle_name": "BELMONT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "64420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412020198A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.