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DR. EDWARD SIDNEY MOAK M.D.
NPI 1437266384
Internal Medicine in Monticello, MS

Active since August 24, 2006
1167 E BROAD ST, MONTICELLO, MS 39654(601) 587-1433(601) 587-1625 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Sidney Moak M.d. NPPES

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

DR. EDWARD SIDNEY MOAK M.D. (NPI 1437266384) is an individual internal medicine provider in Monticello, Mississippi, licensed in Mississippi (09304) and active in the NPI registry since August 2006. He maintains a secondary practice location in Monticello.

NPPES Registry Identity

NPI1437266384
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD SIDNEY MOAKCredential: M.D.
Location Address1167 E BROAD STMonticello, MS 39654-7682
Mailing AddressPo Box 490Mccomb, MS 39649-0490 · (601) 250-4366 · Fax (601) 250-4367
Phone(601) 587-1433
Fax(601) 587-1625
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1437266384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 09304
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1167 E BROAD ST, Monticello, MS 39654
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Secondary Practice Location 1

Location 1827 F E Sellers HwyMonticello, MS 39654-9378 · Phone (601) 587-4648 · Fax (601) 587-0613

Other Identifiers 3

Medicaid00010333MS
OtherMS09304MS · Upin Blue Cross
Other060039545MS · Railroad Medicare

Other Providers at the Same Location NPPES 3

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

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433
AMANDA ROSE SMITH FNP-C
Nurse Practitioner (Family)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433

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 Edward Moak's NPI number?

The NPI number for Edward Moak is 1437266384. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Edward Moak located?

Edward Moak practices at 1167 E Broad St, Monticello, MS 39654. The listed phone number is (601) 587-1433.

What is Edward Moak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Edward Moak was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.