JAMES E. MOSSELL III (NPI# 1720195837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720195837 |
| Entity Type | Individual |
| Full Name | JAMES E. MOSSELL III |
| Credential | D.O. |
| Practice Address |
2227 Us Highway 41 N Tifton GA 31794 |
| Practice Telephone | 2293913320 |
| Practice Fax Number | 2293913325 |
| Mailing Telephone | 2293913320 |
| Mailing Fax Number | 2293913325 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
044028 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000752056B | 05 | |
| GA | LICENSE | 044028 | 01 |
| GA | MEDICARE | 66BBBJF | 01 |
| GA | 000752056E | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 907 18th St E, Suite 490, Tifton, GA 317943684 | 2293913320 | 2293913325 |
| Street Address |
2227 US HIGHWAY 41 N |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141563 | Brad E Lindsey | Psychiatry & Neurology | 2227 Us Highway 41 N, Tifton, GA 31794 | 2005-06-01 |
| 1437763794 | Anna Newsome | Speech-Language Pathologist | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-09-03 |
| 1548811540 | Tift Regional Health System Inc | Internal Medicine | 2227 Us Highway 41 N, Tifton, GA 31794 | 2019-09-23 |
| 1801374426 | Jessica Ally Wilson Atkins | Physical Therapist | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2018-08-06 |
| 1164925855 | Tift Regional Health System Inc | Occupational Therapist | 2227 Us Highway 41 N, Tifton, GA 31794 | 2018-03-09 |
| 1598290041 | Kathryn Fulghum | Physical Therapist | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2017-04-21 |
| 1417401977 | Joshua Clifton Pridemore | Chiropractor | 2227 Us Highway 41 N, Tifton, GA 31794 | 2016-08-12 |
| 1376920488 | Tift Regional Health System Inc | Orthopaedic Surgery | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2015-04-28 |
| 1508258047 | Amber Barker | Occupational Therapist | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2015-02-20 |
| 1396095428 | Tift Regional Health System Inc | Clinic/Center | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2012-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
| 1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
| 1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
| 1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
| 1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
| 1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
| 1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
| 1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
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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.