Individual provider Active NPI

Jacob Moremen, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
National Provider Identifier
1972743797
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
24447 Issued in MS
Practice address
2500 North State Street
Jackson, MS 39216-4500
Phone
(601) 984-5452
Fax
(601) 815-3322
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 24447 MS Primary

Addresses

Primary practice location

2500 North State Street
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5452

Other practice location 1

1225 N State ST
Jackson, MS 39202-2064
Phone (601) 968-5003

Other practice location 2

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone (601) 969-6404

Other identifiers 1

IdentifierTypeStateIssuer
05089861MedicaidMS

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
I20160809002000 MS Practitioner - Cardiac Surgery 8729234943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Kentucky College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians
Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

501 Marshall St
Suite 104
Jackson, MS 39202-1663
Phone (601) 969-6404

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

Hospital & facility affiliations

  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24447MSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Dominic Medical Associates LLC CurrentSince Feb 1, 2021 Accepting new patients
St. Dominic Medical Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 5, 2016 Accepting new patients
Medical Foundation of Central Ms CurrentSince Nov 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 5, 2016 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Feb 1, 2021 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2025 Accepting new patients

Locations

350 W Woodrow Wilson Ave
Ste 600
Jackson, MS 39213
Phone (601) 815-6700

2500 N State St
Ste K
Jackson, MS 39216

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

326 Commerce Center Dr
Ste 2200
Ridgeland, MS 39157

Interoperability endpoints

  • Direct secure messaging: jmoremen68457@ummc.direct-ci.com
  • Direct secure messaging: jmoremen2548926@direct.casso.us.com

Organizations & group practices 7

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 2

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1972743797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5452",
            "fax_number": "601-815-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5452",
            "fax_number": "601-815-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State ST",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Marshall St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021663",
            "country_code": "US",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREMEN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "24447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05089861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.