Dr. Jerry Pascall Moore, MD
Dr. Jerry Pascall Moore is a Anatomic Pathology & Clinical Pathology Physician provider (Pathology) practicing in Tupelo, MS, registered in the NPPES registry with NPI 1356497416 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1356497416 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jerry Pascall Moore |
| Credential | MD |
| Sex | Male |
| Practice address | Tupelo, MS, 38801 |
| Phone | 6624070199 |
| Enumeration date | 2007-01-25 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | 06849 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Jerry Moore, MD NPI: 1356497416 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: Tupelo, MS, 38801
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Cross-check NPI 1356497416 against the authoritative CMS record: view Dr. Jerry Pascall Moore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.