STEPHEN MOSLEY PA-C LLC
NPI 1083379366
Physician Assistant in Santa Rosa Beach, FL

Active since November 02, 2021
64 PINE KNOLL LN, SANTA ROSA BEACH, FL 32459(770) 757-2190 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen Mosley Pa-c Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN MOSLEY PA-C LLC (NPI 1083379366) is a healthcare organization registered as a physician assistant in Santa Rosa Beach, Florida and active in the NPI registry since November 2021. The organization lists Stephen Mosley, President, as its authorized official.

NPPES Registry Identity

NPI1083379366
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSTEPHEN MOSLEY PA-C LLC
Location Address64 PINE KNOLL LNSanta Rosa Beach, FL 32459-4588
Mailing Address64 Pine Knoll LnSanta Rosa Beach, FL 32459-4588 · (770) 757-2190
Organization SubpartNo
Authorized OfficialStephen MosleyPresident · (770) 757-2190
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1083379366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X
64 PINE KNOLL LN, Santa Rosa Beach, FL 32459

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Mosley Pa-c Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen Mosley PA-C LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1114401379
2563 S COUNTY HIGHWAY 395
Santa Rosa Beach, FL 32459
(404) 281-0904
✔ PECOS5.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Mosley Pa-C LLC's NPI number?

The NPI number for Stephen Mosley Pa-C LLC is 1083379366. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Stephen Mosley Pa-C LLC located?

Stephen Mosley Pa-C LLC is located at 64 Pine Knoll Ln, Santa Rosa Beach, FL 32459. The listed phone number is (770) 757-2190.

What is Stephen Mosley Pa-C LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephen Mosley Pa-C LLC enrolled in Medicare?

Yes. Stephen Mosley Pa-C LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen Mosley Pa-C LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stephen Mosley Pa-C LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephen Mosley Pa-C LLC was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.