DR. MICHAEL GLENN MOSS (MD) – Internal Medicine Physician, NPI 1851554935

DR. MICHAEL GLENN MOSS (MD) is a healthcare provider. based in Tifton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 66543 (GA). The NPI Number for DR. MICHAEL GLENN MOSS (MD) is 1851554935

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL GLENN MOSS (MD)
NPI
1851554935
Phone
(229) 353-6051
Address
901 18th St E
Enumeration Date
8 July 2008
Last Update Date
30 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4786663377
Graduation Year
2004 (22 years ago)
PAC ID
5092986679
Group Practice PAC ID
7214382001
Professional Enrollment ID
I20110913000366
Address ID
GA310886308WA530XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. MICHAEL GLENN MOSS (MD)

  • 901 18th St E

    Tifton, GA 317943648

    Phone: (229) 353-6051

    Type: Location

  • 163 E Tollison St

    Baxley, GA 315130120

    Phone: (912) 367-9841

    Fax: (912) 367-7203

    Type: Location

  • Appling HealthCare System, 163, East Tollison Street, Speer Homes, Baxley, Appling County, Georgia, 31515, United States

    BAXLEY, GA 315130120

    Phone: (912) 367-9841

    Fax: (912) 367-7203

    Type: Location

  • PO BOX 2070

    BAXLEY, GA 315152070

    Phone: (912) 367-9841

    Fax: (912) 367-7203

    Type: Mailing

  • 654 S MAIN ST

    BAXLEY, GA 315130124

    Phone: (912) 367-4122

    Fax: (912) 367-4136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-09-13

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
I20110913000366IInternal MedicineGATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9892$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5017$0
99239Hospital discharge day management, more than 30 minutes2824$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 7214382001View full group profile
NameSpecialtyState
Nurse PractitionerGA

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Frequently asked questions

How do I look up DR. MICHAEL GLENN MOSS (MD) by NPI?
Use NPI 1851554935 when you need to reference DR. MICHAEL GLENN MOSS (MD) in forms, claims, or directories.
Is DR. MICHAEL GLENN MOSS (MD) currently active in the NPI registry?
CMS-published data lists DR. MICHAEL GLENN MOSS (MD) as an active registrant.
What kind of provider is DR. MICHAEL GLENN MOSS (MD)?
The page reflects Internal Medicine Physician for DR. MICHAEL GLENN MOSS (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL GLENN MOSS (MD)?
The page summarizes Tifton, Georgia for DR. MICHAEL GLENN MOSS (MD); expand the address list for detail.
What if Tifton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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