Individual provider Active NPI

James Bryan Mosier Jr., PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1639618408
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07125 Issued in NC
Practice address
5010 Peters Creek Pkwy
Winston Salem, NC 27127-7276
Phone
(336) 788-4664
Fax
(336) 788-0753
NPI assigned
Feb 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110061 FL
Physician Assistant 363A00000X 0010-07125 NC Primary

Addresses

Primary practice location

5010 Peters Creek Pkwy
Winston Salem, NC 27127-7276

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

Other practice location 2

200 E 2nd Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001775 NC Practitioner - Physician Assistant 5294012290 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

5010 Peters Creek Pkwy
Winston Salem, NC 27127-7276
Phone (336) 788-4664

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

794 S Main St
Suite B
Kernersville, NC 27284-4074
Phone (336) 904-2317

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110061FLMDPhysician Assistant
0010-07125NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Apr 3, 2017 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Apr 3, 2017 Accepting new patients
Novant Medical Group, Inc. CurrentSince Jan 14, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 19, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 14, 2024 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations (25 of 27)

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

1600 Highwoods Blvd
Greensboro, NC 27410
Phone (336) 765-5350

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

5010 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 788-4664

50 Miller St
Ste C
Winston Salem, NC 27104
Phone (336) 310-5535

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Interoperability endpoints

  • Direct secure messaging: jmosier525519@direct.novanthealth.org

Organizations & group practices 10

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 2

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1639618408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 PETERS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277276",
            "telephone_number": "336-788-4664",
            "fax_number": "336-788-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hanes Square Cir",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035514",
            "country_code": "US",
            "telephone_number": "336-441-5569",
            "fax_number": "336-771-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524358",
            "country_code": "US",
            "telephone_number": "704-874-1904",
            "fax_number": "704-874-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSIER",
        "first_name": "JAMES",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110061",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.