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

Jemicah Mosby

Individual provider Occupational Therapist · NPI 1194480764

Jemicah Mosby is an Occupational Therapist in Private Practice in Milton, Georgia. Qualified in 2005, 21 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2021

Practice location Address checks out

385 Sablewood Dr
Milton, GA 30004-8048
Phone: (770) 377-7633
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 004956 (GA)

Record details

NPI number1194480764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address385 Sablewood Dr, Milton, GA 30004-8048

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare