Moriah
Moriah is a healthcare organization registered as Specialist in Gulfport, MS, holding Type 2 (organization) NPI 1003958117 since 2007. The authorized official on file is Timothy Jackson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003958117 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moriah |
| Other name | <Unavail> |
| Practice address | 12080 NEW ORLEANS AVE N, Gulfport, MS, 39503 |
| Phone | 2288329933 |
| Fax | 2288329916 |
| Enumeration date | 2007-02-13 |
| Last updated in NPPES | 2008-08-22 |
Authorized official
| Name | Timothy Jackson |
|---|---|
| Title | Owner |
| Phone | 2288329933 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 14510 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124986 | Medicaid | MS | — |
Copy-ready billing details
Provider: Moriah NPI: 1003958117 Taxonomy: 174400000X (Specialist) Address: 12080 NEW ORLEANS AVE N, Gulfport, MS, 39503
Verify this record
Cross-check NPI 1003958117 against the authoritative CMS record: view Moriah 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.
Frequently asked questions
Who is the authorized official for Moriah?
What is the NPI number for Moriah?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-08-22.