Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Marie Moss, PA-C

Individual provider Physician Assistant · NPI 1114910429

Heather Marie Moss, PA-C is a Physician Assistant in Homerville, Georgia. Graduated from University of Nebraska College of Medicine in 2005, 21 years ago. Practices with Southland Clinch Emergency Medical Services, LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Trained at
University of Nebraska College of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Clinch Memorial Hospital 1050 Valdosta Hwy
Homerville, GA 31634
Phone: (912) 487-5211
Fax: (912) 487-4332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1061 Harmon Avenue, Fort Stewart, GA 31314-5611 — (912) 435-6666

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5518 (GA)

Record details

NPI number1114910429
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Southland Clinch Emergency Medical Services, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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