Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jacksonville State University

Sports Medicine (Family Medicine) Physician in Jacksonville, AL · enumerated 2016 · authorized official Mouzon Bass, Agent.

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

National Provider Identifier

1548717119

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Jacksonville State University

Other name <Unavail>

Practice address 700 Pelham Rd N, Jacksonville, AL, 36265

Phone (256) 782-5369

Enumeration date Sep 1, 2016

Last updated in NPPES Sep 1, 2016

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 10954 (AL) Primary

Authorized official

Name Mouzon Bass

Title Agent

Phone (972) 367-4845

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-01. Verify at npiregistry.cms.hhs.gov.

Where is Jacksonville State University located?

The practice location on file with NPPES is in Jacksonville, AL.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-01.