Michael Glenn Moss, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

66543 Issued in GA

Practice address

654 S Main St
Baxley, GA 31513-0124

Phone

(912) 367-4122

Fax

(912) 367-4136

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moss Family Holdings LLCGroup PAC ID 7214382001, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Moss Family Holdings LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1407639677

  GA, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• RMX Baxley LLC

  • Clinic/Center
  • Baxley, GA
  • NPI 1780347070

  GA

  Medicare reassignment NPD
• RMX Blackshear LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Blackshear, GA
  • NPI 1174287379

  Endocrinology, Diabetes & Metabolism, GA

  Medicare reassignment NPD
• South Georgia ER Services, LLC

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1548763899

  GA

  Medicare reassignment NPD
• The Baxley and Appling County Hospital Authority

  • General Practice Physician
  • Baxley, GA
  • NPI 1518967116

  GA, Internal Medicine

  Medicare reassignment NPD
• Moss Family Holdings LLC

  • Clinic/Center
  • Warner Robins, GA
  • NPI 1659088995
  NPD Authorized official
• Rime Med

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1891478251

  Internal Medicine

  NPD Authorized official
• RMX Brunswick, LLC

  • Clinic/Center
  • Brunswick, GA
  • NPI 1871208629
  NPD
• The Baxley & Appling County Hospital Authority

  • Multi-Specialty Clinic/Center
  • Blackshear, GA
  • NPI 1548828676
  NPD
• The Baxley and Appling County Hospital Authority

  • Surgery Physician
  • Baxley, GA
  • NPI 1376897488
  NPD
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499

  Hospital

  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1851554935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130124",
            "telephone_number": "912-367-4122",
            "fax_number": "912-367-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 18th St E",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943648",
            "country_code": "US",
            "telephone_number": "229-353-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 E Tollison St",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130120",
            "country_code": "US",
            "telephone_number": "912-367-9841 x1259",
            "fax_number": "912-367-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MICHAEL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "66543",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "66543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Strickland Miller, PA-C
• Kimberly Dawn Mitcham, FNP
• Gerry Delayne Moore Sr.
• Crystal Nicole Moran
• Jessica Morris, PHARMD
• Neal Lovett, OD, LLC
• Lainey Odom
• Optim Orthopedics LLC
• Optim Orthopedics, LLC
• Optim Orthopedics, LLC

• All providers in Baxley, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.