NPIMap

Organization Active NPI

Dr. William J. Moss

Doing business as Gynecologists Associated

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1932393626
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7472 Issued in TN
Legal business name
DR. WILLIAM J. MOSS
Doing business as
Gynecologists Associated
Practice address
1755 Gunbarrel Rd Ste 205
Chattanooga, TN 37421-3185
Phone
(423) 756-0863
Fax
(706) 937-2377
NPI assigned
Sep 5, 2007
Last updated
Mar 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. William Joel Moss, M.D.NPI 1053403550
Title
Owner
Phone
(423) 756-0863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 7472 TN Primary

Addresses

Primary practice location

1755 Gunbarrel Rd Ste 205
Chattanooga, TN 37421-3185

Mailing address

PO Box 21592
Chattanooga, TN 37424-0592
Phone (423) 756-0863

Other identifiers 3

IdentifierTypeStateIssuer
3716358MedicaidTN
160057061OtherGAMEDICARE RAILROAD
000046265OtherTNBCBS TN

Other names 1

  • Gynecologists Associated Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000639 TN Part B Supplier - Clinic/Group Practice 0941283873 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chattanooga, TN; Ooltewah, TN

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1932393626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21592",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374240592",
            "telephone_number": "423-756-0863",
            "fax_number": "706-937-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD STE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213185",
            "telephone_number": "423-756-0863",
            "fax_number": "706-937-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM J. MOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-756-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "7472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716358",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160057061",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "000046265",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gynecologists Associated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.