Jennifer Shea Moses, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17261 Issued in MS

Practice address

1020 River Oaks Dr Ste 310
Jackson, MS 39232-9512

Phone

(601) 932-5006

Fax

(601) 932-4548

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Mississippi Medical College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Women'S Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.moses.1@28954.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southern Women'S Health, PLLC

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971

  5% Or Greater Security Interest

  CMS ownership
• Southern Women'S Health, PLLC

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1548640642

  5% Or Greater Security Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Women'S Health, PLLC

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1174744379
  Medicare reassignment Care Compare group NPD
• Oxford Clinic for Women, PLLC

  • Specialist
  • Oxford, MS
  • NPI 1578105540
  NPD
• Southern Women'S Health, PLLC

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971
  NPD
• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• Roh LLC

  • Women's Hospital
  • Jackson, MS
  • NPI 1285681841
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1063515807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "STE 310",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329512",
            "telephone_number": "601-932-5006",
            "fax_number": "601-932-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR STE 310",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329512",
            "telephone_number": "601-932-5006",
            "fax_number": "601-932-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JENNIFER",
        "middle_name": "SHEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "17261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05650842",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morvanta LLC
• Morvanta LLC
• David A Mosal, DDS
• Seth Hunter Mosal, D.M.D.
• April Nicole Moses, MHA, BSN, RN
• Stephanie Moses, LPC
• Margaret Cox Mosley, NP-C
• Natalie Petersen Mosley, PHARM. D.
• Thomas H. Mosley Jr., PHD
• Charlotte Baker Moss, PA-C

• Obstetrics & Gynecology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.