Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Brooks Moore, PA-C

Individual provider Urology Physician · NPI 1659103083

Jacob Brooks Moore, PA-C is a Physician Assistant in Mobile, Alabama. Qualified in 2025, 1 year ago. Practices with The Health Care Authority of the City of Anniston, a 41-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

151 Du Rhu Dr Apt 4323
Mobile, AL 36608-1266
Phone: (256) 914-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence PA.2684 (AL)

Record details

NPI number1659103083
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice The Health Care Authority Of The City Of Anniston — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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