Hugh S. Moore, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17042 Issued in MS

Legal business name

HUGH S. MOORE, M.D., P.A.

Practice address

748 E Fifteenth St
Yazoo City, MS 39194-2706

Phone

(662) 746-9818

Fax

(662) 746-2026

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hugh Scott Moore, M.D.

Title

President

Phone

(662) 746-9818

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477669190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 E FIFTEENTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942706",
            "telephone_number": "662-746-9818",
            "fax_number": "662-746-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E FIFTEENTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942706",
            "telephone_number": "662-746-9818",
            "fax_number": "662-746-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH S. MOORE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-746-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016034",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Health Care Services, Inc.
• Home Health Care Support Services, Inc.
• Horizon Behavioral and Support Services, LLC
• Hospitalmd of Yazoo City Inc.
• Briyanna Dene Hubbard
• Alexis C Ingram, PCCSS
• Kelsey Irvine
• J Rapha Medical Group
• Kalyn Alexandria Jefferson
• Willie Mae M Jessop, CFNP

• Family Medicine Physician in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.