ALFRED RANDALL MOSS MD PA (NPI# 1871852061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871852061 |
| Entity Type | Organization |
| Organization Name | ALFRED RANDALL MOSS MD PA |
| Other Organization Name | GAFFNEY FAMILY PHYSICIANS |
| Practice Address |
101 Professional Park Gaffney SC 29340-2319 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8644891446 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DR. ALFRED R. MOSS (OWNER) |
| Authorized Official Telephone | 8644891446 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALFRED RANDALL MOSS MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Gaffney Family Physicians | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1245294107 | Alfred Randall Moss | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2006-04-17 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1962906313 | Charleston Oncology, Pa | Non-Pharmacy Dispensing Site | 3510 Highway 17 Byp N Ste 300, Mount Pleasant, SC 29466-8230 | 2018-03-21 |
| 1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
| 1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
| 1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
| 1346581162 | Wellness First, LLC | Non-Pharmacy Dispensing Site | 2133 N Hillside Dr, Charleston, SC 29407-8102 | 2013-03-04 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1679849806 | Florence Podiatry Associates, LLC | Non-Pharmacy Dispensing Site | 492 W Cheves St, Florence, SC 29501-4447 | 2012-04-02 |
| 1629693668 | Anesthesia Associates of Charleston, P.a. | Non-Pharmacy Dispensing Site | 1341 Old Georgetown Rd, Mt Pleasant, SC 29464-7307 | 2020-06-16 |
| 1942841911 | Compounding Center At The Tides | Non-Pharmacy Dispensing Site | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2019-10-01 |
| 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.