Active NPI
Rebekah Moulder, M.D.
- Family Medicine Physician
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18671
- Practice address
- 205A Belle Meade PT
Flowood, MS 39232-3311 - Phone
- (601) 200-5678
- Fax
- (601) 992-0096
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18671 | MS | Primary |
Addresses
Primary practice location
205A Belle Meade PT
Flowood, MS 39232-3311
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-5678
Other practice location 1
106 Highland Way
Suite 103
Madison, MS 39110-6929
Phone (601) 200-4750
Other practice location 2
286 Calhoun Station Pkwy
Madison, MS 39110-5537
Phone (601) 200-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07121372 | Medicaid | MS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmoulder2548958@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Highland Way
Madison, MS 39110-6933
106 Highland Way
Suite 103 St Dominic Family Practice Madis
Madison, MS 39110-6930
Phone (601) 200-4750
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Adoration Home Health
- Mississippi Homecare of Jackson
- St Dominic-Jackson Memorial Hospital
- Mississippi Methodist Rehab Ctr
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Dominic Medical Associates LLC | Current | Accepting new patients | |
| St. Dominic Medical Associates LLC | Family Medicine | Past | Accepting new patients |
| St. Dominic Medical Associates LLC | Family Medicine | Past | Accepting new patients |
| St Dominic Medical Associates LLC | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
498 Highway 80 E
Clinton, MS 39056
Phone (601) 200-4800
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376
106 Highland Way
Ste 103
Madison, MS 39110
Phone (601) 200-4750
Interoperability endpoints
- rebekah.moulder@sdma.eclinicaldirectplus.com
- rmoulder2548958@direct.casso.us.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1407920549
-
- Hospitalist Physician
- Jackson, MS
- NPI 1285987578
-
- Family Nurse Practitioner
- Jackson, MS
- NPI 1508263179
-
- Family Medicine Physician
- Madison, MS
- NPI 1245393255
-
- Family Medicine Physician
- Flowood, MS
- NPI 1710040712
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vicksburg, MS
- NPI 1245288943
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1932200151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "601-200-5678",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205A BELLE MEADE PT",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392323311",
"telephone_number": "601-200-5678",
"fax_number": "601-992-0096"
}
],
"practiceLocations": [
{
"address_1": "106 Highland Way",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391106929",
"country_code": "US",
"telephone_number": "601-200-4750",
"fax_number": "601-200-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "286 Calhoun Station Pkwy",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391105537",
"country_code": "US",
"telephone_number": "601-200-4321",
"fax_number": "601-859-0159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOULDER",
"first_name": "REBEKAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "18671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07121372",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmoulder2548958@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-EPIC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rmoulder2548958@direct.casso.us.com",
"address_1": "205A Belle Meade Pt",
"city": "Flowood",
"state": "MS",
"country_code": "US",
"postal_code": "392323311",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "205A Belle Meade Pt",
"city": "Flowood",
"state": "MS",
"country_code": "US",
"postal_code": "392323311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.