Individual provider Active NPI

Heather Katherine Moss, M.D.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1720023708
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD39160 Issued in TN
Practice address
4005 Fountain Valley Dr
Suite 450
Knoxville, TN 37918-5327
Phone
(865) 922-5870
Fax
(865) 922-5872
NPI assigned
Jun 17, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Female
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 MD39160 TN Primary

Addresses

Primary practice location

4005 Fountain Valley Dr
Suite 450
Knoxville, TN 37918-5327

Mailing address

1928 Alcoa Hwy Ste B300
Knoxville, TN 37920-1505
Phone (865) 305-9799

Other identifiers 1

IdentifierTypeStateIssuer
3333707MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050922000155 TN Practitioner - Obstetrics/Gynecology 5597799288 Reassigns benefits to 2 organizations
I20150721000183 FL Practitioner - Obstetrics/Gynecology 5597799288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

1930 Alcoa Hwy
Knoxville, TN 37920-1510

1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670

9220 Dutchtown Rd
Suite 102
Knoxville, TN 37923-2745
Phone (865) 238-1040

9625 Kroger Park Dr
Knoxville, TN 37922-5880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD39160TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Mar 1, 2008 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 29, 2014 Accepting new patients
University of Tennessee CurrentSince Mar 1, 2008 Accepting new patients
University Health System Inc CurrentSince Mar 19, 2009 Accepting new patients
University Health System, Inc Obstetrics & Gynecology CurrentSince Mar 19, 2009 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
University Health System, Inc Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 29, 2014 Accepting new patients
Women's Physicians of Knoxville, PC Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
University Health System, Inc. Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (615) 637-6392

1928 Alcoa Hwy
Ste B300
Knoxville, TN 37920
Phone (865) 305-9799

1930 Alcoa Hwy
Ste 240
Knoxville, TN 37920
Phone (865) 305-9620

1932 Alcoa Hwy
Ste 150
Knoxville, TN 37920
Phone (865) 546-1642

4005 Fountain Valley Dr
Ste 450
Knoxville, TN 37918
Phone (865) 377-4980

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

Organizations & group practices 12

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

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1720023708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE B300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201505",
            "telephone_number": "865-305-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 450",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185327",
            "telephone_number": "865-922-5870",
            "fax_number": "865-922-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "HEATHER",
        "middle_name": "KATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD39160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333707",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.