Active NPI
Carly Moss, PA-C
- Physician Assistant
- Cheverly, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007646
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-3779
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007646 | MD | Primary |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
3728 Gunston Rd BLDG 918
Alexandria, VA 22302-2008
Phone (843) 319-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.64 of 100
- Quality
- 88.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 75.4
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1482 | SC | MD | Athletic Trainer |
| C0007646 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Medical University Hospital Authority | Current | Accepting new patients |
Locations
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599350400000",
"number": "1851744098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3728 GUNSTON RD BLDG 918",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022008",
"telephone_number": "843-319-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "301-618-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "CARLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2020-09-06",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.