NPIMap

Individual provider Active NPI

Tal Jordan Moskowitz, MD

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1962541532
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4304080912 Issued in MI
Practice address
3535 Peachtree Road
Suite 520 #345
Atlanta, GA 30326-3292
Phone
(678) 427-4844
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 37576 WI
Neurology Physician 2084N0400X 4304080912 MI Primary
Neurology Physician 2084N0400X 055842 GA
Neurology Physician 2084N0400X 17528 AL
Neurology Physician 2084N0400X H8269 TX
Neurology Physician 2084N0400X 22110 SC
Neurology Physician 2084N0400X 37576-020 WI

Addresses

Primary practice location

3535 Peachtree Road
Suite 520 #345
Atlanta, GA 30326-3292

Mailing address

3535 Peachtree Road
Suite 520 #345
Atlanta, GA 30326-3292
Phone (678) 427-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17528ALMDPharmacist
055842GAMDNeurology Physician
4304080912MIMDNeurology Physician
H8269TXMDNeurology Physician
37576-020WIMDNeurology Physician
22110SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Specialist Inc. Past Accepting new patients
McLaren Northern Michigan Past Accepting new patients
Aspirus Specialists, Inc. Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Tanner Medical Group Inc Neurology PastSince Feb 1, 2016 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1962541532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE ROAD",
            "address_2": "SUITE 520 #345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263292",
            "telephone_number": "678-427-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE ROAD",
            "address_2": "SUITE 520 #345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263292",
            "telephone_number": "678-427-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "TAL",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "37576",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4304080912",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "055842",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "17528",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H8269",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "22110",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "37576-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.