HEATHER MARIE MOSS (PA-C) – Physician Assistant, NPI 1114910429

HEATHER MARIE MOSS (PA-C) is a healthcare provider. based in Thomasville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5518 (GA). The NPI Number for HEATHER MARIE MOSS (PA-C) is 1114910429

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MARIE MOSS (PA-C)
NPI
1114910429
Phone
(229) 236-0831
Address
100 S MADISON ST
Enumeration Date
23 August 2005
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7062833151
Graduation Year
2005 (21 years ago)
PAC ID
4880743392
Group Practice PAC ID
2860792066
Professional Enrollment ID
I20090512000463
Address ID
GA306351830EL4XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for HEATHER MARIE MOSS (PA-C)

  • South Madison Street, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925473

    Phone: (229) 236-0831

    Type: Mailing

  • 1061 Harmon Avenue

    Fort Stewart, GA 313145611

    Phone: (912) 435-6666

    Type: Location

  • Clinch Memorial Hospital, 1050, Valdosta Highway, Homerville, Clinch County, Georgia, 31634, United States

    1050 VALDOSTA HWY

    HOMERVILLE, GA 31634

    Phone: (912) 487-5211

    Fax: (912) 487-4332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090512000463IPhysician AssistantGATBD
I20190829003140IPhysician AssistantNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8472$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4037$0
99285Emergency department visit with high level of medical decision making3938$0
99291Critical care, first 30-74 minutes3735$0
View full utilization report →

Insurance plans in this area (ZIP 31792)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860792066View full group profile
NameSpecialtyState
Physician AssistantGA
Emergency MedicineSC
Emergency MedicineGA
Family Practice, Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Emergency MedicineGA
Emergency Medicine, Internal MedicineGA
-GA

Reviews

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Frequently asked questions

What identifier follows HEATHER MARIE MOSS (PA-C) across health systems?
The NPI 1114910429 uniquely identifies HEATHER MARIE MOSS (PA-C) in U.S. healthcare data.
Is HEATHER MARIE MOSS (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists HEATHER MARIE MOSS (PA-C) as active.
What does the directory say HEATHER MARIE MOSS (PA-C) does?
Insurance directories may phrase it differently, but here HEATHER MARIE MOSS (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to HEATHER MARIE MOSS (PA-C)?
The directory associates HEATHER MARIE MOSS (PA-C) with Thomasville, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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