NPI age
19 years
Enumerated 2007-03-19
● Active
Type 1 · Individual
Kenneth Moss, C.S.A.
Moss is 1 of 1 specialist/technologist, other providers in Loganville and 1 of 92 in Georgia.
Primary specialty
Specialist/Technologist, Other
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 92 active specialist/technologist, other providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
2602 Fall Creek Ldg
Loganville, GA 300525877
Mailing address
Po Box 888235
Atlanta, GA 303560235
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1558 | 1558 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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