Jerry V Mosley, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9000 Issued in AL

Practice address

701 19TH St E
Jasper, AL 35501-5503

Phone

(205) 221-1516

Fax

(205) 384-9539

NPI assigned

Aug 25, 2006

Last updated

Jul 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.mosley@walkmed.direct.medconnect-inc.com

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.

• Jerry V. Mosley M.D., P.C.

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1881253243
  Medicare reassignment NPD Authorized official
• Walker Medical Diagnostics, LLC

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1649350646
  Medicare reassignment NPD
• Walker Medical Diagnostics, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jasper, AL
  • NPI 1881808400
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1821106592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SHADES CLIFF RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355049132",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-384-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JERRY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blakeney Moore, PHARM.D
• Stephanie Moore, MS
• Daniel Jason Morris, D.O.
• Wendy Morrison
• Darcy Matthews Mosley I, P.A.
• Lynn Liberte Mosley, P.T.
• Taylor Alvin Mosley, M.D.
• Mountain Smiles - Jasper Dental PLLC
• Autumn N Mummey, CRNP
• Monica Leann Muncher

• Internal Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.

Verify at the official NPI Registry.