Jason Fondren Moss, DO

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

26163 Issued in MS

Practice address

4 Medical Blvd
Hattiesburg, MS 39401

Phone

(601) 579-5444

Fax

(601) 579-3083

NPI assigned

Apr 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Infectious Disease

Education

West Virginia School of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Southeast Mississippi Rural Health Initiative, Inc.Group PAC ID 2466342605, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest General Home Care Home health agency, Hattiesburg, MS, CCN 257127
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
• Pearl River County Hospital Hospital, Poplarville, MS, CCN 251333
• Marion General Hospital Hospital, Columbia, MS, CCN 250085
• Perry County General Hospital Hospital, Richton, MS, CCN 250783

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmoss88821@directpatientrecord.com

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.

• Hattiesburg Clinic PA

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1740213446
  Medicare reassignment Care Compare group NPD
• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment Care Compare group NPD
• Hattiesburg Clinic, PA

  • Primary Care Clinic/Center
  • Flowood, MS
  • NPI 1912600354
  NPD
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD
• Women'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1831167998
  NPD
• Southeast Mississippi Rural Health Initiative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1538136940
  NPD (past)

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

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Forrest County General Hospital

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1336256700
  Care Compare affiliation
• Forrest County General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation
• Forrest County General Hospital

  • Critical Access Hospital
  • Poplarville, MS
  • NPI 1760789903
  Care Compare affiliation
• Forrest County General Hospital

  • Rural Acute Care Hospital
  • Richton, MS
  • NPI 1932143989
  Care Compare affiliation

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1235558149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043902",
            "country_code": "US",
            "telephone_number": "817-877-5295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of Kentucky 800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363902",
            "country_code": "US",
            "telephone_number": "859-323-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 S 28th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017208",
            "country_code": "US",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JASON",
        "middle_name": "FONDREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MS",
            "license": "26163",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Morris, RPH
• Charles Troy Morrissette, M.D.
• Courtney Brooke Morse
• Joanna Moses, CRNA
• T'Kylia Moss-Powe, PA-C
• David Motanya, M.D
• Amber Mott, LMSW
• Ronald C Mozingo, OD
• Ms Methodist Hospital & Rehabilitation Center
• Ms Pain & Migraine

• Infectious Disease Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Infectious Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.