BILLY H MOSES JR MD LLC (NPI# 1851724256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851724256 |
| Entity Type | Organization |
| Organization Name | BILLY H MOSES JR MD LLC |
| Practice Address |
2400 Bellevue Rd #11 Erin Office Park Dublin GA 31021-2885 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 4782752454 |
| Practice Fax Number | 4782750991 |
| Mailing Telephone | 9125374986 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | TONY M OSTEEN (CFO) |
| Authorized Official Telephone | 9125385314 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST PRIMARY CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003138212A | 05 |
| Street Address |
2400 BELLEVUE RD #11 ERIN OFFICE PARK |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167523 | Tonya B Nicholson | Advanced Practice Midwife | 2400 Bellevue Rd, Erin Office Suite 26, Dublin, GA 31021-2885 | 2005-07-13 |
| 1619576253 | Rachel Westerbeck | Physician Assistant | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-10-24 |
| 1750906103 | Brandon Brown | Dentist | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-06-11 |
| 1942747274 | Jill Pavesich | Nurse Practitioner | 2400 Bellevue Rd, Suite 26, Dublin, GA 31021-2885 | 2017-01-25 |
| 1457759508 | Family Dentistry of Dublin, P.C. | Dentist | 2400 Bellevue Rd, #24, Dublin, GA 31021-2885 | 2014-12-05 |
| 1508124249 | Dublin Womens Center | Obstetrics & Gynecology | 2400 Bellevue Rd, Erin Office Park 26, Dublin, GA 31021-2885 | 2012-05-01 |
| 1396023404 | Dublin Dialysis Center LLC | Clinic/Center | 2400 Bellevue Rd, Suite 29a, Dublin, GA 31021-2885 | 2011-07-25 |
| 1659670982 | Kathryn Falk Johnson | Optometrist | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2011-03-25 |
| 1770894867 | Felicia Fountain | Ophthalmology | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2010-06-23 |
| 1447447933 | Harsha Vyas | Internal Medicine | 2400 Bellevue Rd, Suite 26 Erin Office Park, Dublin, GA 31021-2885 | 2007-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1497053540 | Jason Daniel Shoemaker | Surgery | 7450 Hospital Dr Ste 150, Dublin, OH 43016-9641 | 2011-03-13 |
| 1881869824 | Steven Roger Wanamaker | Surgery | 6103 Karrer Pl, Dublin, OH 43017-1408 | 2008-04-29 |
| 1962626986 | Noel Nellis | Surgery | 338 Regency Cir, Dublin, GA 31021-4341 | 2007-04-12 |
| 1124136452 | James Andrew Bedingfield Jr. | Surgery | 103 Fairview Park Drive, J.andrew Bedingfield Jr., M.d., Middle Georgia Surgical Associates, P.C., Dublin, GA 31021-2501 | 2006-08-28 |
| 1649221888 | Ernest Debourbon | Surgery | 5060 Bradenton Ave, Suite B, Dublin, OH 43017-3511 | 2006-05-12 |
| 1184981029 | Vivian Le-tran | Surgery | 6380 Clark Ave, Dublin, CA 94568-3036 | 2012-04-17 |
| 1073842217 | Delphi Healthcare Specialists of Georgia, LLC | Surgery | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2009-12-17 |
| 1649322314 | Stephen M Glatz | Surgery | 7450 Hospital Dr, Ste 150, Dublin, OH 43016-9641 | 2007-01-16 |
| 1609963529 | John Robert Ward | Surgery | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-10-10 |
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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.