Individual provider Active NPI

Jonathan Brent Moss, M.D.

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1447784103
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
335264 Issued in LA
Practice address
728 W 11TH Ave
Covington, LA 70433-2318
Phone
(985) 892-3766
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 335264 LA Primary

Addresses

Primary practice location

728 W 11TH Ave
Covington, LA 70433-2318

Mailing address

728 W 11TH Ave
Covington, LA 70433-2318
Phone (985) 892-3766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230818000561 LA Practitioner - General Surgery 7416224035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, 162 clinicians

Practice addresses (Care Compare)

1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140

1202 S Tyler St
Attention Managed Care Dept.
Covington, LA 70433-2330

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335264LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jul 1, 2023 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jul 1, 2023 Accepting new patients

Locations

606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1447784103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332318",
            "telephone_number": "985-892-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332318",
            "telephone_number": "985-892-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JONATHAN",
        "middle_name": "BRENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "335264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.