Active NPI
Andrew Moss, MD
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 87274
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1436
- Fax
- (843) 402-1833
- NPI assigned
- Apr 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 87274 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838
Other practice location 1
9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872746 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Columbia University College of Physicians and Surgeons, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1064 Gardner Rd
Suite 112
Charleston, SC 29407-5768
Phone 8437233441551
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 724-2450
Hospital & facility affiliations
- Roper Hospital
- Mount Pleasant Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Anesthesiology | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Anesthesiology | Current | Accepting new patients |
| Charleston Gastroenterology Specialists | Past | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1396776670
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Specialist
- Charleston, SC
- NPI 1205835865
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1932606845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "843-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833"
}
],
"practiceLocations": [
{
"address_1": "9263 Medical Plaza Dr Ste E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294067112",
"country_code": "US",
"telephone_number": "843-572-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "87274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "872746",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.