| Alfred Randall Moss, M.d. P.a | |
|
101 Professional Park Gaffney SC 29340-2319 | |
| (864) 489-1446 | |
| (864) 489-4909 |
| Full Name | Alfred Randall Moss, M.d. P.a |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Professional Park, Gaffney, South Carolina |
| Authorized Official Name and Position | Alfred Randall Moss (PRESIDENT) |
| Authorized Official Contact | 8644891446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred Randall Moss, M.d. P.a Post Office Box 1375 Gaffney SC 29342-1375 Ph: (864) 489-1446 | Alfred Randall Moss, M.d. P.a 101 Professional Park Gaffney SC 29340-2319 Ph: (864) 489-1446 |
| NPI Number | 1063697894 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 05/10/2013 |
| Medicare PECOS PAC ID | 3173436052 |
|---|---|
| Medicare Enrollment ID | O20031107000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063697894 | NPI | - | NPPES |
| PC3331 | Medicaid | SC | |
| 6737300001 | Other | SC | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 009903 (South Carolina) | Primary |
| Provider Name | Barbara C Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225095243 PECOS PAC ID: 0547228843 Enrollment ID: I20050103000400 |
| Provider Name | Alfred R Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245294107 PECOS PAC ID: 6901718105 Enrollment ID: I20050111000411 |
| Provider Name | Gina Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942626502 PECOS PAC ID: 6709006075 Enrollment ID: I20141008002325 |
| Provider Name | Susan J Fenderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981831 PECOS PAC ID: 6103142435 Enrollment ID: I20150304002259 |
| Provider Name | Tina L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013476506 PECOS PAC ID: 0941625974 Enrollment ID: I20200806003777 |
| Provider Name | Jessica M Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528719747 PECOS PAC ID: 5597158998 Enrollment ID: I20220208000680 |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |
Cherokee Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 Medical Center Dr, Gaffney, SC 29340 Phone: 864-487-7186 Fax: 864-487-7246 | |
Cherokee Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 | |
Novant Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy, Suite A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 | |
Spartanburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 N Limestone St, Gaffney, SC 29340 Phone: 864-489-3360 Fax: 864-560-4413 | |
Premise Health Of South Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Woodland Rd, Gaffney, SC 29341 Phone: 864-301-8325 Fax: 864-489-1949 |