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MARY JACKSON MOSLEY M.D.
NPI 1558459479
Internal Medicine in Decatur, GA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
2701 N DECATUR RD, DECATUR, GA 30033(404) 501-5422(404) 501-1771 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Jackson Mosley M.d. NPPES

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

MARY JACKSON MOSLEY M.D. (NPI 1558459479) is an individual internal medicine provider in Decatur, Georgia, licensed in Georgia (45252) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1995).

NPPES Registry Identity

NPI1558459479
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY JACKSON MOSLEYCredential: M.D.
Location Address2701 N DECATUR RDDecatur, GA 30033-5918
Mailing AddressPo Box 403631Atlanta, GA 30384-3631 · (770) 740-0895 · Fax (770) 740-0896
Phone(404) 501-5422
Fax(404) 501-1771
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1995
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1558459479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 45252
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2701 N DECATUR RD, Decatur, GA 30033
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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 and accepts Medicare assignment

Mary Jackson Mosley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224028055
PECOS Enrollment IDI20040514000112
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 Mary Mosley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
6.8 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30033 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 20

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

DR. JONATHAN JOEL PERKINS M.D.
Family Medicine
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-5422
VANESSA TREASTER CNM
Advanced Practice Midwife
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-1000
AOP ASSOCIATES LLC
Dentist (Oral and Maxillofacial Pathology)
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-7445
SARAH BUSHNAG
Student in an Organized Health Care Education/Training Program
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-1000
JAMES PATRICK THOMSON MD
Anesthesiology
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (678) 514-1991
DR. ALYSSA BRAATEN PH.D.
Clinical Neuropsychologist
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
SHANNON MARIE O'BRIEN
Pathology (Anatomic Pathology & Clinical Pathology)
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-1000
SARAH KATE PHILLIPS ORTON MSOT, OTR/L
Occupational Therapist
2701 N DECATUR RD
DECATUR, GA 30033
Dekalb County (404) 501-5852

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 Mary Mosley's NPI number?

The NPI number for Mary Mosley is 1558459479. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mary Mosley located?

Mary Mosley practices at 2701 N Decatur Rd, Decatur, GA 30033. The listed phone number is (404) 501-5422.

What is Mary Mosley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Mosley enrolled in Medicare?

Yes. Mary Mosley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Mosley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mosley reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, 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 Mary Mosley'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 Mary Mosley was last updated on April 13, 2022. 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.