OrganizationActive
Moriah
NPI 1003958117 · Specialist · Gulfport, MS
Moriah is a Specialist organization in Gulfport, MS (NPI 1003958117).
Provider details
- NPI number
- 1003958117
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Jackson, Owner(228) 832-9933
- License
- 14510 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12080 New Orleans Ave N
Gulfport, MS 39503-3180
Phone: (228) 832-9933
Fax: (228) 832-9916
Street-level locationGet directions
Mailing address
Po Box 10049
Gulfport, MS 39505-0049
Other names (DBA / former)
- Doing business as
- Dr. Tim Jackson
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2008-08-22
Frequently asked questions
- What is Moriah's NPI number?
- Moriah's National Provider Identifier (NPI) is 1003958117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moriah?
- Moriah is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Moriah located?
- Moriah's practice location on file with NPPES is 12080 New Orleans Ave N, Gulfport, MS 39503-3180.
- What is Moriah's phone number?
- The practice phone number listed in the NPPES registry for Moriah is (228) 832-9933.
- Who is the authorized official for Moriah?
- The authorized official listed on Moriah's NPPES record is Timothy Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moriah's NPI active?
- Yes — Moriah's NPI (1003958117) is active in the NPPES registry as of the last update on 2008-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.