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Mississippi Asthma & Allergy Clinic PA

Allergy & Immunology Physician in Jackson, MS · enumerated 2005 · authorized official David Moak, Practice Administrator.

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

National Provider Identifier

1902882251

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Asthma & Allergy Clinic PA
Practice address 1513 Lakeland Dr, Ste 100, Jackson, MS, 39216
Phone (601) 354-4836
Fax (601) 354-2619
Enumeration date Dec 19, 2005
Last updated in NPPES Feb 16, 2010

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Moak
Title Practice Administrator
Phone (601) 354-4836

Other identifiers

Identifier Type State Issuer
030002483 Other MS RR MEDICARE
P00236071 Other MS RR MEDICARE
030003287 Other MS RR MEDICARE
030001646 Other MS RR MEDICARE

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.

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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 2010-02-16. Verify at npiregistry.cms.hhs.gov.
Where is Mississippi Asthma & Allergy Clinic PA located?
The practice location on file with NPPES is in Jackson, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-16.