Billy H Moses Jr MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BILLY H MOSES JR MD LLC

Practice address

2400 Bellevue Rd
#11 Erin Office Park
Dublin, GA 31021-2885

Phone

(478) 275-2454

Fax

(478) 275-0991

NPI assigned

Aug 21, 2013

Last updated

Sep 5, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHEAST PRIMARY CARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Tony M Osteen

Title

Cfo

Phone

(912) 538-5314

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Southeast Regional Primary Care Corporation

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1851724256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "address_2": "#11 ERIN OFFICE PARK",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-275-2454",
            "fax_number": "478-275-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLY H MOSES JR MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST PRIMARY CARE CORPORATION",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-538-5314"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003138212A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Melissa Benz-Yanken, LCSW
• Fathia Bess, RN
• Bestcare Counseling, PC
• Shenice Lakendra Betha, M.S., LAPC
• Leah S Bethea, COTA/L
• Shekema Bivings, NP
• Emmett Wheeless Black Jr., DMD
• Amy Blake, MD
• Cherron Lakisha Blakely, MT, CLS
• Meredith Jane Blalock, PHARMD

• Surgery Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.