DR. JOSEPH SAMUEL MOAK MD NPI 1184667800

NPI Information

  • NPI: 1184667800
  • Provider Name: DR. JOSEPH SAMUEL MOAK, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 NORTH STATE STREET
    DEPARTMENT OF MEDICINE DIV GENERAL INTERNAL MEDICINE
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-5660

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NPI Details

DR. Joseph Samuel Moak, MD is an internal medicine in Jackson, MS with 48 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Joseph Samuel Moak, MD NPI is 1184667800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIV GENERAL INTERNAL MEDICINE
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5660

The NPI 1184667800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Heart muscle strain imaging (HCPCS:93356)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:17283)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm (HCPCS:17284)
  • X-ray of paranasal sinus, 1-2 views (HCPCS:70210)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:17281)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm (HCPCS:17286)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine08390MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108775083MEDICAIDMISSISSIPPI
2D73494MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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