Jacksonville State University
NPI 1548717119 · Sports Medicine (Family Medicine) Physician · Jacksonville, AL
Jacksonville State University is a Sports Medicine (Family Medicine) Physician organization in Jacksonville, AL (NPI 1548717119).
Provider details
- NPI number
- 1548717119
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
- License
- 10954 (AL)
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
9 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
Other names (DBA / former)
- Doing business as
- Jacksonville State University Sports Medicine
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Frequently asked questions
- What is Jacksonville State University's NPI number?
- Jacksonville State University's National Provider Identifier (NPI) is 1548717119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville State University?
- Jacksonville State University is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville State University located?
- Jacksonville State University's practice location on file with NPPES is 700 Pelham Rd N, Jacksonville, AL 36265-1602.
- What is Jacksonville State University's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville State University is (256) 782-5369.
- Who is the authorized official for Jacksonville State University?
- The authorized official listed on Jacksonville State University's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville State University's NPI active?
- Yes — Jacksonville State University's NPI (1548717119) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.