Charlotte Annette Moss, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Chatom, AL
NPI 1861007262 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1861007262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1-141985 (AL)
- Practice address
- 14634 Saint Stephens Ave
Chatom, AL 36518-6711 - Phone
- (251) 847-6262
- Fax
- (251) 847-6277
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117003178 | AL | Practitioner - Nurse Practitioner | 9537570858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-141985 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| Chatom Primary Care PC | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-141985 | AL | Yes |
Addresses
Primary practice location
14634 Saint Stephens Ave
Chatom, AL 36518-6711
Mailing address
PO Box 724
Chatom, AL 36518-0724
Phone (251) 589-3110
Other providers in Chatom, AL
- Michael Wayne Goldman
- John Leonard Hubbard Jr.
- Deah Rebecca Huff
- Magnolia Behavior Services, LLC
- McConaghy Home Medical, LLC
- Thomas Moss
- Molly Moseley Peterson
- Pulmonary Associate of Mobile PC
- Milton Samuel Reynolds Jr.
- Leslie Savage
All providers in Chatom, AL · Pediatric Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.