Justin Moore, MD
NPI 1174766638 · Emergency Medicine Physician · Jackson, MS
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Moore, MD is a Emergency Medicine Physician provider in Jackson, MS (NPI 1174766638).
Provider details
- NPI number
- 1174766638
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T-2340 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-04-14
- Last updated
- 2010-07-05
Frequently asked questions
- What is Justin Moore's NPI number?
- Justin Moore's National Provider Identifier (NPI) is 1174766638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Moore's specialty?
- Justin Moore is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Moore located?
- Justin Moore's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Justin Moore's phone number?
- The practice phone number listed in the NPPES registry for Justin Moore is (601) 984-5570.
- Does Justin Moore accept Medicare?
- Justin Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Moore's NPI active?
- Yes — Justin Moore's NPI (1174766638) is active in the NPPES registry as of the last update on 2010-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.