Paul A Mossman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034527 Issued in GA

Practice address

2410 Ingleside Ave
Macon, GA 31204-2036

Phone

(478) 845-7462

Fax

(855) 791-3372

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1851460125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042036",
            "telephone_number": "478-845-7462",
            "fax_number": "855-791-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042036",
            "telephone_number": "478-845-7462",
            "fax_number": "855-791-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00477441D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Mosley, FNP
• Shanteria Mosley
• Bridget Holyfield Moss
• Camille Moss, RPH
• Kenyada Moss
• Mothers Helping Mothers, Inc
• Motivation Behavioral Services
• Courtney Dianne Moudy, NP
• Darla Daniel Moughon
• Kimberly Moxley, SLP

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.