DR. JERRY PASCALL MOORE MD
NPI 1356497416
Pathology - Anatomic Pathology & Clinical Pathology in Tupelo, MS

Active since January 25, 2007

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerry Pascall Moore Md NPPES

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

DR. JERRY PASCALL MOORE MD (NPI 1356497416) is an individual anatomic pathology & clinical pathology provider in Tupelo, Mississippi, licensed in Mississippi (06849) and active in the NPI registry since January 2007.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1356497416
Entity TypeIndividualMale
Provider Legal NameDR. JERRY PASCALL MOORECredential: MD
Location Address146 ROAD 83Tupelo, MS 38801-6971
Mailing Address146 Road 83Tupelo, MS 38801-6971 · (662) 407-0199
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356497416 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pathology · Anatomic Pathology & Clinical Pathology

Taxonomy 207ZP0102X · Allopathic & Osteopathic Physicians

Licensed in MS · 06849

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the… Show more

146 ROAD 83, Tupelo, MS 38801

Also on File with NPPES

Other Identifiers1
C48333 (Medicare UPIN, MS)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356497416, enumerated as an "individual" on January 25, 2007.

The provider is located at 146 ROAD 83 TUPELO, MS 38801 and the phone number is (662) 407-0199.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.