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JACKSON BOONE MOSS MD
NPI 1447954193
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since March 28, 2023
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4696 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jackson Boone Moss Md NPPES

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

JACKSON BOONE MOSS MD (NPI 1447954193) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1447954193
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON BOONE MOSSCredential: MD
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 934-4696
Phone(205) 934-4696
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1447954193 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.
625 19TH ST S, Birmingham, AL 35233
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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.

RUI ZHENG-PYWELL MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3288
CYDNEY NICHOLE TERRYN MD
Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-0727
TODD WILLIAM MUDD JR.
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2490
DAVID W MERKLEY DO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4696
DR. SERDAR AKKOL MD, PHD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3756
MATTHEW GUILFORD LONG
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-6007
AMANDA MARINELLO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-7104
BENJAMIN ROWLAND MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0208

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 Jackson Moss's NPI number?

The NPI number for Jackson Moss is 1447954193. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Jackson Moss located?

Jackson Moss practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4696.

What is Jackson Moss'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 Jackson Moss was last updated on March 28, 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.