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WALTER THOMAS MOORE MD
NPI 1396569844
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since November 12, 2024
1225 N STATE ST, JACKSON, MS 39202(601) 968-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2026, Nov 12, 2024 (2 updates tracked since 2024).

About Walter Thomas Moore Md NPPES

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

WALTER THOMAS MOORE MD (NPI 1396569844) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1396569844
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWALTER THOMAS MOORECredential: MD
Location Address1225 N STATE STJackson, MS 39202-2064
Mailing Address1190 N State St Ste 400Jackson, MS 39202-2413 · (769) 268-6770
Phone(601) 968-1000
Sole ProprietorNo
Enumeration DateNovember 12, 2024
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1396569844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1225 N STATE ST, Jackson, MS 39202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HADEN DAVIS
Registered Nurse
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1044
MRS. ALLISON MITCHELL CCC-SLP
Speech-Language Pathologist
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-5003
STEPHEN PAUL EPPERSON MD
Family Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
DR. RICHARD B FRIEDMAN MD
Radiology (Radiation Oncology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1416
JOHN C BROOKS M.D.
Emergency Medicine (Emergency Medical Services)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 982-6001
KATHRYN B BROWN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-3070
WILLIAM FRANKLIN RAYBURN M.D.
Internal Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
JOSHUA GRICE CAMPBELL MD
Emergency Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Moore's NPI number?

The NPI number for Walter Moore is 1396569844. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Walter Moore located?

Walter Moore practices at 1225 N State St, Jackson, MS 39202. The listed phone number is (601) 968-1000.

What is Walter Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Walter Moore was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.