Moss Family Holdings LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOSS FAMILY HOLDINGS LLC

Doing business as

Moss Medical Clinic
The Diabetes Center of Warner Robins

Practice address

530 S Houston Lake Rd
Warner Robins, GA 31088-6308

Phone

(229) 454-5335

NPI assigned

Nov 4, 2022

Last updated

Aug 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael G Moss, MDNPI 1851554935

Title

Medical Director

Phone

(229) 454-5335

Specialties & licenses 2

Addresses

Other names 3

• Moss Medical Clinic Doing business as
• The Diabetes Center of Warner Robins Doing business as
• Moss Family Holdings Diabetes Center of Warner Robins, LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Glenn Moss, MD

  • Internal Medicine Physician
  • Baxley, GA
  • NPI 1851554935
  NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1659088995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 PINEY BLUFF RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315133108",
            "telephone_number": "229-454-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886308",
            "telephone_number": "229-454-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS FAMILY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-454-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Diabetes Center of Warner Robins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moss Family Holdings Diabetes Center of Warner Robins, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Moss Family Holdings Diabetes Center of Warner Robins, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Faye Morrissette, LAPC
• Alycia Anne Morrow
• Cynthia Lenor Morton, LPC
• Talyndria Mosley
• Moss Family Holdings LLC (Moss Medical Clinic)
• Kentrece Moss, LPN
• Kevin Moss
• Timothy Tyrone Moss, LCSW
• Gail R. Mouton, CCC-SLP
• MRI & Imaging of Georgia, LLC

• Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.