TARA MOSS (NPI# 1255371118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255371118 |
| Entity Type | Individual |
| Full Name | TARA MOSS |
| Credential | PAA |
| Practice Address |
1001 Johnson Ferry Rd Scottish Rite Dept of Anes Atlanta GA 30342 |
| Mailing Address |
108 Essex Valley Ct Canton GA 30115 |
| Practice Telephone | 4047852008 |
| Practice Fax Number | 4047854496 |
| Mailing Telephone | 7707049010 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 004596 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558662320 | Tara Fregin Moss | Social Worker | 200 Spencer Ter Se, Leesburg, VA 20175-5648 | 2010-11-10 |
| 1679660187 | Tara Spencer Moss | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-06 |
| Street Address |
1001 JOHNSON FERRY RD SCOTTISH RITE DEPT OF ANES |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572366 | Floyd W Reifein | Anesthesiology | 1001 Johnson Ferry Rd, Scottish Rite Dept of Anes, Atlanta, GA 30342 | 2006-05-08 |
| 1104423136 | Megan Childs | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-10-02 |
| 1861008393 | Brian Christopher Thompson | Student in an Organized Health Care Education/Training Program | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-09-21 |
| 1538785530 | Elizabeth Nell Cochran | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-06-25 |
| 1952926008 | Jacqueline Erin Pearson | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-06-15 |
| 1427683424 | Jenissa Dawn Gordon | Dietitian, Registered | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-03-10 |
| 1497387443 | Brianne Rebekah Mosley | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-02-07 |
| 1689219388 | Marina Tarabicos | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-11-18 |
| 1821630971 | Stephanie Mcintosh Junior | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-10-10 |
| 1144876574 | Taylor Lee Gutwillig | Anesthesiologist Assistant | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
| 1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
| 1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
| 1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
| 1457737033 | Megan Tunstill | Anesthesiologist Assistant | 791 Wylie St Se Apt 905, Atlanta, GA 30316-7206 | 2015-08-05 |
| 1821472473 | Matthew Duncan | Anesthesiologist Assistant | 4210 Morgan Place Ct Ne, Atlanta, GA 30324-5413 | 2015-07-14 |
| 1336523240 | Joseph Howard | Anesthesiologist Assistant | 2515 Northeast Expy Ne, Apt F9, Atlanta, GA 30345-2501 | 2015-07-10 |
| 1902203508 | Anastasia Davidson | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 530, Atlanta, GA 30342-5005 | 2014-11-25 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1801203641 | Jason Daugherty | Anesthesiologist Assistant | 550 Peachtree Rd. Ne, Atlanta, GA 30308 | 2014-07-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.