Active NPI
Jacob Moremen, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24447
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05089861 | Medicaid | MS |
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
- Cardiac Surgery
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24447 | MS | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Dominic Medical Associates LLC | Current | 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 | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| St Dominic Medical Associates LLC | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | 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
- jmoremen68457@ummc.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Jackson, MS
- NPI 1407920549
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Hospitalist Physician
- Jackson, MS
- NPI 1285987578
-
- Gastroenterology Physician
- Jackson, MS
- NPI 1902374085
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.