Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KETRON V. MOSS D.M.D.
NPI 1760467310
Dentist - General Practice in Young Harris, GA

Active since December 07, 2005PECOS Enrolled
620 MAIN ST, YOUNG HARRIS, GA 30582(706) 379-6677(706) 379-1968 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ketron V. Moss D.m.d. NPPES

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

DR. KETRON V. MOSS D.M.D. (NPI 1760467310) is an individual general practice provider in Young Harris, Georgia, licensed in Georgia (010857) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760467310
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KETRON V. MOSSCredential: D.M.D.
Location Address620 MAIN STYoung Harris, GA 30582-4118
Mailing Address620 Main StYoung Harris, GA 30582-4118 · (706) 379-6677 · Fax (706) 379-1968
Fax(706) 379-1968
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1760467310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · 010857
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
620 MAIN ST, Young Harris, GA 30582

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ketron V. Moss D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30582 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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

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

Dentist
620 MAIN ST
YOUNG HARRIS, GA 30582

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 Ketron Moss's NPI number?

The NPI number for Ketron Moss is 1760467310. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Ketron Moss located?

Ketron Moss practices at 620 Main St, Young Harris, GA 30582. The listed phone number is (706) 379-6677.

What is Ketron Moss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ketron Moss enrolled in Medicare?

Yes. Ketron Moss is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ketron Moss was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.