Mr Jordan Moses, ATC, CSCS, USAW is a
Preventive Medicine - Sports Medicine physician based in Phenix City, Alabama. Mr Jordan Moses is licensed to practice in Georgia (license number AT002893) and his current practice location is 1800 Lakewood Dr, Apt S4, Phenix City, Alabama. He can be reached at his office (for appointments etc.) via phone at
(812) 760-9985.
NPI number for Mr Jordan Moses is 1447607528 and his current mailing address is 1800 Lakewood Dr, Apt S4, Phenix City, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447607528.
Physician's Profile
Full Name | Mr Jordan Moses |
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Gender | Male |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 1800 Lakewood Dr, Phenix City, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447607528
- Provider Enumeration Date: 05/19/2016
- Last Update Date: 05/19/2016
Medical Identifiers
Medical identifiers for Mr Jordan Moses such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447607528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | AT002893 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jordan Moses is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jordan Moses, ATC, CSCS, USAW 1800 Lakewood Dr, Apt S4, Phenix City, AL 36867-1867 Ph: (812) 760-9985 | Mr Jordan Moses, ATC, CSCS, USAW 1800 Lakewood Dr, Apt S4, Phenix City, AL 36867-1867 Ph: (812) 760-9985 |
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