PORTIA MOORE
NPI 1154854107
Case Manager/Care Coordinator in Jackson, MS

Q: What is Portia Moore's NPI number?

The NPI number for Portia Moore is 1154854107. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Q: What is Portia Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Portia Moore was last updated on April 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2017

460 BRIARWOOD DR, SUITE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Portia Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTIA MOORE (NPI 1154854107) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1154854107

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NamePORTIA MOORE

Location Address460 BRIARWOOD DR, SUITE 510Jackson, MS 39206-3051

Mailing Address460 Briarwood Dr, Suite 510Jackson, MS 39206-3051 · (601) 956-4816 · Fax (601) 956-4817

Phone(601) 956-4816

Fax(601) 956-4817

Sole ProprietorNo

Enumeration DateApril 6, 2017

✔ NPI 1154854107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

460 BRIARWOOD DR, Jackson, MS 39206

Open in Google Maps ↗