Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801879028 Individual Practitioner Male Practitioner

Dr. R. Lawrence Moss , MD

Surgery - Pediatric Surgery • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. R. Moss, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Jacksonville, FL. Practice services are available at 807 CHILDRENS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way

Jacksonville, FL 322078426

Telephone 9046973600
Fax 9046973927
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1265585806

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Jacksonville, FL (94 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-21
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License FL ME140171

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License OH 35070198

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3101057 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacqueline Noe

Physician Assistant

NPI 1013000488
Kelly Summers , ARNP

Nurse Practitioner

NPI 1023531043

Advanced Registered Nurse Practitioner

Caitlin Thomas , APRN

Nurse Practitioner - Pediatrics

NPI 1023820255

Advanced Practice Registered Nurse

Dr. Robert Sprecher , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1033139480

Doctor of Medicine (M.D.)

Whitney Law , PA

Physician Assistant

NPI 1053664870

Physician Assistant

Dr. Stacy White , MD

Radiology - Pediatric Radiology

NPI 1053750323

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 21, 2022

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

📍
Updated Business Mailing Address February 21, 2022

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974236)

NPI Profile Active November 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2012

Registered at 555 S 18TH ST, COLUMBUS, OH 432052654 (Tel: 6147223900)

📍
Updated Business Mailing Address November 30, 2012

Registered at 700 CHILDREN'S DR, ED. BLDG. 3RD FLOOR, COLUMBUS, OH 432052664 (Tel: 6147224823)

👤
Provider Name / Credentials Updated November 30, 2012

Recorded as R. MOSS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2012

Surgery (License #35070198 in OH)

🟢
Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801879028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

10140 Centurion Pkwy N

Jacksonville, FL 322560532

Phone: 9046974236

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.