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BRADLEY MOSHER
NPI 1164013868
Nurse Practitioner - Psychiatric/Mental Health in Suwanee, GA

Active since January 27, 2021PECOS Enrolled
1325 SATELLITE BLVD NW BLDG 400, SUWANEE, GA 30024(678) 263-3080 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bradley Mosher NPPES

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

BRADLEY MOSHER (NPI 1164013868) is an individual psychiatric/mental health provider in Suwanee, Georgia, licensed in Georgia (RN256219) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164013868
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRADLEY MOSHER
Location Address1325 SATELLITE BLVD NW BLDG 400Suwanee, GA 30024-4651
Mailing Address4835 Clarkstone DrFlowery Branch, GA 30542-3326 · (678) 897-8408
Phone(678) 263-3080
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1164013868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN256219
1325 SATELLITE BLVD NW BLDG 400, Suwanee, GA 30024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Mosher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Mosher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Professionals Of Georgia, LLC
0.4 mi
Psychiatry
1325 SATELLITE BLVD NW BLDG 400
Suwanee, GA 30024
  • Reassigned Medicare billing, Georgia enrollment
  • 96 clinicians in this Medicare group
NPI 1396277968 (678) 263-3080

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEERAIN ASHOK SHAH M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA 30024
Gwinnett County (678) 263-3080
BENJAMIN AKOSA M.D.
Psychiatry & Neurology (Psychiatry)
1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA 30024
Gwinnett County (678) 263-3080
PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC
Psychiatry & Neurology (Psychiatry)
1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA 30024
Gwinnett County (678) 263-3080

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 Bradley Mosher's NPI number?

The NPI number for Bradley Mosher is 1164013868. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Bradley Mosher located?

Bradley Mosher practices at 1325 Satellite Blvd NW Bldg 400, Suwanee, GA 30024. The listed phone number is (678) 263-3080.

What is Bradley Mosher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bradley Mosher enrolled in Medicare?

Yes. Bradley Mosher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Mosher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Mosher reassigns Medicare benefits to Psychiatric Professionals Of Georgia, LLC (Suwanee, GA). The 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 Bradley Mosher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Mosher was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.