Individual provider Active NPI

Ashley Mose, N.P.

  • Acute Care Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1801333281
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95005755 Issued in CA
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

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827000316 GA Practitioner - Nurse Practitioner 5597049635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2020 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2020 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.

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

Verify at the official NPI Registry.