Active NPI
Ashley Mose, N.P.
- Acute Care Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1801333281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95005755
- Practice address
- 80 Jesse Hill Dr SE
Atlanta, GA 30303-3030 - Phone
- (404) 616-5525
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95005755 | CA | Primary |
Addresses
Primary practice location
80 Jesse Hill Dr SE
Atlanta, GA 30303-3030
Mailing address
8730 Puett Dr
Douglasville, GA 30135-7549
Phone (251) 709-2591
Other practice location 1
3443 Villa Ln Ste 6
Napa, CA 94558-6417
Phone (707) 252-8407
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1801333281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 PUETT DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301357549",
"telephone_number": "251-709-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033030",
"telephone_number": "404-616-5525"
}
],
"practiceLocations": [
{
"address_1": "3443 Villa Ln Ste 6",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945586417",
"country_code": "US",
"telephone_number": "707-252-8407",
"fax_number": "707-252-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSE",
"first_name": "ASHLEY",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2021-08-02",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95005755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.