BRADLEY MOSHER – Psychiatric/Mental Health Nurse Practitioner, NPI 1164013868

BRADLEY MOSHER is a healthcare provider. based in Flowery branch, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN256219 (GA). The NPI Number for BRADLEY MOSHER is 1164013868

Main info

Male
6 Years Of Experience
Name
BRADLEY MOSHER
NPI
1164013868
Phone
(678) 897-8408
Address
4835 CLARKSTONE DR
Enumeration Date
27 January 2021
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
8325551047
Professional Enrollment ID
I20250626003710
Address ID
IL605232169Oa1211XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for BRADLEY MOSHER

  • 4835 CLARKSTONE DR

    FLOWERY BRANCH, GA 305423326

    Phone: (678) 897-8408

    Type: Mailing

  • 1325 SATELLITE BLVD NW BLDG 400

    SUWANEE, GA 300244651

    Phone: (678) 263-3080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 310 Open Payments records for all available years, with a total value of $5,134.

Total Amount is formed as General ($5,134) + Research ($0) + Ownership ($0) = $5,134.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($566).

Total Amount

$5,134

General + Research + Ownership

Payments

310

Total payment records

General Amount

$5,134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250626003710INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30542)

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Reviews

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Frequently asked questions

Can I use this page to confirm BRADLEY MOSHER's NPI?
Yes. BRADLEY MOSHER is listed with NPI 1164013868 in the public NPI dataset.
Does the file indicate BRADLEY MOSHER is practicing under active NPI?
Directory data currently reports BRADLEY MOSHER as active.
What healthcare role does BRADLEY MOSHER hold?
Scheduling teams often label BRADLEY MOSHER under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect BRADLEY MOSHER on a map?
Expect Flowery Branch, Georgia as a primary anchor for BRADLEY MOSHER unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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