Jerry V. Mosley M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JERRY V. MOSLEY M.D., P.C.

Practice address

701 19TH St E
Jasper, AL 35501-5503

Phone

(205) 221-1516

Fax

(205) 387-9539

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry V Mosley, M.D.NPI 1821106592

Title

M.D.

Phone

(205) 221-1516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry V Mosley, M.D.

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1821106592
  Medicare reassignment NPD Authorized official
• Steve D Johnson, M.D.

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1144338880
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1881253243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 19th St E",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355015503",
            "country_code": "US",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERRY V. MOSLEY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "205-221-1516",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Senior Living LLC (The Terrace Senior Living Community)
• Jasper Urgent Care
• Miali Praytor Jennings, CRNP
• Jernigan Healthcare, Inc.
• Jerry L. Boshell, D.M.D., P.C.
• John G. Jessup, MD
• Tammy Ann Jett, OTR
• Jill Barton Gamotis, DMD, LLC
• Jillian E. Bivona LLC
• Alicia Johnson, CCC SLP

• Internal Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.