NPIMap

Individual provider Active NPI

James E. Mossell III, D.O.

  • Rheumatology Physician
  • Tifton, GA
National Provider Identifier
1720195837
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
044028 Issued in GA
Practice address
2227 US Highway 41 N
Tifton, GA 31794
Phone
(229) 391-3320
Fax
(229) 391-3325
NPI assigned
Aug 24, 2006
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 044028 GA Primary

Addresses

Primary practice location

2227 US Highway 41 N
Tifton, GA 31794

Mailing address

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 391-3320

Other practice location 1

907 18th St E
Suite 490
Tifton, GA 31794-3684
Phone (229) 391-3320

Other identifiers 4

IdentifierTypeStateIssuer
66BBBJFOtherGAMEDICARE
044028OtherGALICENSE
000752056BMedicaidGA
000752056EMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.mossell@trhs.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040818000778 GA Practitioner - Rheumatology 1557334448 Reassigns benefits to 1 organization
I20190110002888 FL Practitioner - RheumatologyPractitioner - Internal Medicine 1557334448

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044028GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Internal Medicine Associates of St Johns County PA CurrentSince Oct 21, 2018 Accepting new patients
Tift Regional Health System Inc CurrentSince Oct 1, 2006 Accepting new patients
Tift Regional Health System Inc Rheumatology CurrentSince Oct 1, 2006 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients

Locations

16 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 794-5411

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

1610 John Orr Dr
Ste H
Tifton, GA 31794
Phone (229) 386-5222

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

907 18th St E
Ste 490
Tifton, GA 31794
Phone (229) 391-3320

Organizations & group practices 8

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 6

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1720195837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-391-3320",
            "fax_number": "229-391-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-391-3320",
            "fax_number": "229-391-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 18th St E",
            "address_2": "Suite 490",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943684",
            "country_code": "US",
            "telephone_number": "229-391-3320",
            "fax_number": "229-391-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSSELL",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "044028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "66BBBJF",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "044028",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752056B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752056E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.mossell@trhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2227 US Highway 41 N",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.