Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerry Pascall Moore, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1356497416

Dr. Jerry Pascall Moore, MD is an Anatomic Pathology & Clinical Pathology Physician in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

146 Road 83
Tupelo, MS 38801-6971
Phone: (662) 407-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 06849 (MS)

Record details

NPI number1356497416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address146 Road 83, Tupelo, MS 38801-6971

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