DR. ALFRED RANDALL MOSS (NPI# 1245294107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245294107 |
| Entity Type | Individual |
| Full Name | DR. ALFRED RANDALL MOSS |
| Credential | MD |
| Practice Address |
101 Professional Park Gaffney SC 29340-2319 |
| Practice Telephone | 8644891446 |
| Practice Fax Number | 8644894909 |
| Mailing Telephone | 8644891446 |
| Mailing Fax Number | 8644894909 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
009903 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC3331 | 05 |
| Street Address |
101 PROFESSIONAL PARK |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677682 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2005-08-25 |
| 1336593979 | Gaffney Urgent Care | Clinic/Center | 101 Professional Park, Suite B, Gaffney, SC 29340-2319 | 2016-04-20 |
| 1942626502 | Gina Wells Yost | Nurse Practitioner | 101 Professional Park, Gaffney, SC 29340-2319 | 2014-03-06 |
| 1427305531 | Carolina Neuropathy Center, LLC | Registered Nurse | 101 Professional Park, Suite D, Gaffney, SC 29340-2319 | 2012-08-08 |
| 1871852061 | Alfred Randall Moss Md Pa | Non-Pharmacy Dispensing Site | 101 Professional Park, Gaffney, SC 29340-2319 | 2012-05-09 |
| 1063697894 | Alfred Randall Moss, M.d. P.a | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-12-28 |
| 1437346475 | Bruce H Wellmon | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-10-03 |
| 1821282146 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437370061 | Samuel Johnston Orr | Family Medicine | 140 Forest Hills Dr, Gaffney, SC 29340-2837 | 2007-05-01 |
| 1063697894 | Alfred Randall Moss, M.d. P.a | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027595 | Ketamine Treatment Services | Family Medicine | 3015 Dunes West Blvd Ste 510, Mount Pleasant, SC 29466-8252 | 2019-08-07 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1164995346 | Rachelle Shepard | Family Medicine | 144 Whitehurst Way, Columbia, SC 29229-8500 | 2019-01-10 |
| 1255848834 | Mobile Medical LLC | Family Medicine | 1002 Shipmaster Ave, Myrtle Beach, SC 29579-5142 | 2018-01-04 |
| 1891035416 | Donald F Wade | Family Medicine | 1728 Vassar Dr, Charleston, SC 29407-4236 | 2013-02-19 |
| 1770880486 | James Stuart Mcdaniel | Family Medicine | 1140 Pilot Boy, Wadmalaw Island, SC 29487-6993 | 2011-02-15 |
| 1356672927 | Bledsoe Family Medicine LLC | Family Medicine | 669 Barr Rd Ste C, Lexington, SC 29072-2369 | 2010-01-21 |
| 1295974509 | John Browning Mcree | Family Medicine | S Carolina Dept of Corrections, Redemption Way, Mc Cormick, SC 29899-0001 | 2009-02-10 |
| 1174795900 | Gordon R. Weigle, Md Pa | Family Medicine | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2008-04-01 |
| 1780613455 | Paul Manuel Espinoza | Family Medicine | 2660 Kinard St, Newberry, SC 29108-2912 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
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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.