Individual provider Active NPI

Jason Fondren Moss, DO

  • Infectious Disease Physician
  • Hattiesburg, MS
National Provider Identifier
1235558149
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
26163 Issued in MS
Practice address
4 Medical Blvd
Hattiesburg, MS 39401-7230
Phone
(601) 579-5444
Fax
(601) 579-3083
NPI assigned
Apr 8, 2014
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 26163 MS Primary
Internal Medicine Physician 207R00000X 04083 KY

Addresses

Primary practice location

4 Medical Blvd
Hattiesburg, MS 39401-7230

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-5444

Other practice location 1

University Of Kentucky 800 Rose St
Lexington, KY 40536-3902
Phone (859) 323-2636

Other practice location 2

421 S 28th Ave Ste 110
Hattiesburg, MS 39401-7208
Phone (601) 579-5444

Other practice location 3

900 8th Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5295

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190809002220 MS Practitioner - Infectious Disease 2567735939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

62 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-4550

64 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 909-9390

66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500

68 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 545-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sumrall Family Health Center Current Accepting new patients
Hattiesburg Community Dental Center CurrentSince May 2, 2020 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 2, 2019 Accepting new patients
Women's Health Center CurrentSince May 2, 2020 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jul 2, 2019 Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients

Locations

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

4 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 579-5444

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500

Interoperability endpoints

  • Direct secure messaging: jmoss88821@directpatientrecord.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "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": "394017230",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-3083"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JASON",
        "middle_name": "FONDREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "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": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.