Dr Kelvin Jerry Moss, MD | |
1200 Memorial Dr, Dalton, GA 30720-2529 | |
(706) 217-2207 | |
Not Available |
Full Name | Dr Kelvin Jerry Moss |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1200 Memorial Dr, Dalton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275640526 | NPI | - | NPPES |
839374814G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GA 054634 (Georgia) | Secondary |
208M00000X | Hospitalist | 054634 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hamilton Medical Center | Dalton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hamilton Medical Center, Inc | 0446151179 | 83 |
Entity Name | Hamilton Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053 |
Entity Name | Southern Health Corp Of Ellijay |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952395097 PECOS PAC ID: 9638087471 Enrollment ID: O20040514000144 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelvin Jerry Moss, MD 83 Southside Church St, Ellijay, GA 30540-5400 Ph: (706) 636-6677 | Dr Kelvin Jerry Moss, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 217-2207 |
Dr. James C Blackwell, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1432 Broadrick Dr, Dalton, GA 30720 Phone: 706-226-8990 Fax: 706-529-5313 | |
Dr. Christopher Brian Delashmitt, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Hospitalist Department, Dalton, GA 30720 Phone: 706-272-6876 | |
Deepu Daniel, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-281-5608 | |
Farwa Hameed, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1115 Professional Blvd, Dalton, GA 30720 Phone: 706-226-4642 | |
Dr. Seth T Wagner, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1114 Professional Blvd, Dalton, GA 30720 Phone: 706-278-0138 Fax: 706-272-3780 | |
Windsor Pamphile, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6876 Fax: 706-272-6877 |