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Moriah

Specialist in Gulfport, MS · enumerated 2007 · authorized official Timothy Jackson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003958117

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Registry record

Entity type Organization (Type 2)
Legal business name Moriah
Other name <Unavail>
Practice address 12080 New Orleans Ave N, Gulfport, MS, 39503
Phone (228) 832-9933
Fax (228) 832-9916
Enumeration date Feb 13, 2007
Last updated in NPPES Aug 22, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License 14510 (MS) Primary

Authorized official

Name Timothy Jackson
Title Owner
Phone (228) 832-9933

Other identifiers

Identifier Type State Issuer
00124986 Medicaid MS -

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for Moriah?
NPPES lists Timothy Jackson (Owner) as the authorized official for this organization.
What is the NPI number for Moriah?
The NPI for Moriah is 1003958117, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-22.